In patients with EGJOO on esophageal manometry, how do you approach subsequent testing for further evaluation?  

In order to make a clinically relevant and conclusive diagnosis of EGJOO, patients must not only have manometric findings of EGJOO but also clinically important/related symptoms and at least one additional test which shows evidence of obstruction at the EGJ. This additional testing is with either a ...

High-resolution esophageal manometry (HRM) should be performed after endoscopic evaluation with biopsies has ruled out structural or mucosal abnormalities. In patients presenting with esophageal symptoms (e.g., dysphagia, non-cardiac chest pain), a timed barium esophagram (TBE) is a cost-effective o...