Competency information

Details

Set up the equipment ready for use for each type of investigation and critique the equipment and consumables available in the investigation of upper gastrointestinal  motility disorders.

Considerations

  • The range of equipment used, and the relative merits and principles of measurement, including static and ambulatory oesophageal manometry, ambulatory pH, ambulatory pH/impedance and telemetric pH device.
  • Recognition of the errors or potential risks of using defective equipment in clinical practice and the implications of use.
  • Identification of common faults and remedial action.

Relevant learning outcomes

# Outcome
# 1 Outcome Perform safe intubation of the upper gastrointestinal tract in a range of patients presenting with dysphagia, chest pain, typical and atypical gastro-oesophageal reflux symptoms, exacerbation of chest conditions (asthma, cystic fibrosis), and conditions including achalasia, Barrett’s oesophagus, scleroderma, non-cardiac chest pain, rumination, laryngopharyngeal reflux, Schatzki’s ring, oesophageal webs.
# 2 Outcome Perform oesphogeal manometry (gaining experience of a range of water- based and solid state systems, including high-resolution manometry) in a range of patients presenting with conditions including achalasia, Barrett’s oesophagus, scleroderma, non-cardiac chest pain, Schatzki’s ring, oesophageal webs.
# 3 Outcome Perform single and dual channel pH and combined pH and impedance monitoring in a range of adult patients presenting with a range of conditions, including gastro-oesophageal reflux, duodenogastric reflux, rumination and laryngopharyngeal reflux.