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Marshmallows over manometry? Invited commentary to “Can the marshmallow esophagram replace high resolution manometry as an appropriate screening for esophageal motility prior to anti-reflux surgery?”

Published:November 03, 2022DOI:https://doi.org/10.1016/j.amjsurg.2022.11.001
      In this issue of The American Journal of Surgery, Chloe Caudell and colleagues from Prisma Health and the University of South Carolina at Greenville present their paper on the marshmallow esophagram as a screening modality for esophageal motility in patients considering anti-reflux surgery.

      Claudell C, Covil EP, Gilpin JW, Hodgens B, Ewing A, Kothari SN. Can the marshmallow esophagram replace high-resolution manometry as an appropriate screening for esophageal motility prior to anti-reflux surgery? Am J Surg, in press.

      The paper concludes that the marshmallow swallow is an effective screening tool and may obviate the need for high resolution manometry (HRM) in some patients slated to undergo operation. The authors do offer the caveat that more data and longer follow-up are necessary to establish the true accuracy of the marshmallow swallow study and achieve statistical significance. Nevertheless, the paper proposes that patients with a normal marshmallow esophagram can avoid HRM and still be considered for any anti-reflux procedure.
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      References

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