When seeking the underlying causes of esophageal motility disorders, start with a barium swallow and advance from there.
So advises Felice Schnoll-Sussman, MD, director of the Jay Monahan Center for Gastrointestinal Health at Weill Cornell Medical Center, in New York City, who outlined her strategy at the 2016 annual meeting of the New York Society for Gastrointestinal Endoscopy.
High-resolution manometry (HRM) is a critical tool when abnormal peristalsis is involved, but complaints can be