Dr Margaret Coffey PhD giving an excellent talk on the principles and practice on High Resolution Manometry Imperial NHS 💙 Surgery and Cancer Imperial Health Charity 💙 Chadwan Al Yaghchi

Darth Crypto aKa Jesse Feinberg aced his LSATS Not necessarily. I’m looking at phone camera copies of not-great-resolution originals, so it’s hard to be definitive. Changes of EoE can be subtle. I don’t see any obvious erosions or strictures. I think a high resolution esophageal manometry would be the next step. Biopsies?

Prince Myshkin The Manzoor Ali Khan How can a physician do colonoscopy , anorectal manometry or scintigraphy to rule out alternative diagnosis before labelling patient as IBS..???

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Swallowing 🗣️

fluoroscopy 🤝 high-res manometry

1️⃣ Baseline w/ bolus in mouth
2️⃣ Glossopalatal opening + UES relax
3️⃣ Velopharyngeal jxn closure
4️⃣ Laryngeal vestibule closure
5️⃣ Bolus transit
6️⃣ Bolus transfer
7️⃣ Return to respiratory configuration

#GITwitter 📕S&F 11th Ed

I'm anxious. Have a dentist appointment later and my self-care has been piss poor. Then tomorrow I have my esophageal manometry and 24 hour pH study and I'm freaking out about that too.

Darth Crypto aKa Jesse Feinberg aced his LSATS Sorry, I didn’t see the earlier tweet. Yes, await biopsy and manometry results.

Biofeedback is more complex than we think, targeting specific physiology based on anorectal manometry

Not all constipation is the same. We shld phenotype our patients & focus treatment on where the abnormality is, rather than empirically switching between laxatives

ANMS

Next we have the amazing Dr Margaret Coffey PhD speaking about high resolution manometry in #dysphagia management 🙌

So much energy in the room from these incredible speakers!

#HNCEN2023 Head & Neck Cancer CEN (North)

Today's Paper of the Day is by Annemijn Jonkman on the oesophageal balloon for respiratory monitoring in ventilated patients

criticalcarereviews.com/latest-evidenc…

Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2023

⏰24hrs to go!!

Do you have access to high resolution manometry in your practice? Do you have any questions for Dr Margaret Coffey PhD? Please use #HNCEN2023 😁
Head & Neck Cancer CEN (North)
👇👇👇

Venous manometry and #neuroimaging may provide additional value when diagnosing patients who do not meet criteria for idiopathic #intracranial hypertension, according to a poster presented American Headache Society. bit.ly/3XiSK4C

In pts w/ post-lung transplant, do you scratch your head over these topics?

1. manag of severe GERD & the ideal PPI
2. manometry w/ asymp dysmotility
3. pyloric botox efficacy

If you resonate .. Esophageal Virtual Collaborative @ 3 p.m. PST today!

Wai-Kit Lo, MD MPH AGAF Walter Chan, MD, MPH ANMS

The manometry test is not what’s up 😣😭

Piotr Zając Manometry przeciez byly…

New study: Components of high-resolution manometry that change surgical decisions dlvr.it/SrK8m1

Darth Crypto aKa Jesse Feinberg aced his LSATS I’m assuming you’ve had both a barium esophagogram and an upper endoscopy. Have you had an esophageal manometry?

I've had 22 medical appts since March.
7 different locations in 2 states, 10 doctors, 3 lumbar punctures, 1 venous manometry, 1 PET scan, 3 hospitals, and I lost count of imaging. Driven OVER 1000 MILES.

4 more appts to go before surgery on July 7.
#IIH

#PaperOfTheDay from Critical Care Reviews.
“Measuring partitioned respiratory mechanics & quantifying lung stress+breathing effort using oesophageal manometry improves understanding of the patient's unique respiratory physiology and allows personalisation of mechanical ventilation.”

That’s amazing, thanks Critical Care Reviews! I hope many clinicians will enjoy reading our work on esophageal manometry and start implementing this technique. Dr. Irene Telias

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Most people over complicate technical analysis.

In reality becoming an expert on 1-2 indicators is all you need.

Interested in finding out more about manometry of pharyngeal swallowing?

Try some of these papers 👇
link.springer.com/article/10.100…

drive.google.com/file/d/1bhRVQE…

pubs.asha.org/doi/abs/10.104…

#HNCEN2023 Head & Neck Cancer CEN (North) Dr Margaret Coffey PhD

Now it’s the turn of Dr Margaret Coffey PhD to share her passion for High Resolution Manometry in the UK and what this tool can offer HNC patients. Innovative work and many applications such as ID of abnormalities in pharyngeal pressures and therapeutic use. #HNCEN2023 Head & Neck CEN