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Salih Samo MD, MSci, FACP Profile picture
Salih Samo MD, MSci, FACP
@SalihSamo
Esophagologist-GI @KUHospital. Achalasia|POEM|Esophageal HRM|EndoFLIP. Kurdish. Tweets#medical advise. Tweets are my own opinion.
Aug 18, 2020 • 38 tweets • 11 min read
F/U recent ACG-VGR "High-Resolution Manometry: Thinking beyond the Chicago Classification", @JPandolfinoMD answered Qs that u can encounter when reading #HRM routinely. Q&A posted on ACG circle @AmCollegeGastro. For #GITwitter who may not have access. Here are some (summarized) 1/
 Q: How do u explain achalasia w/ NORMAL IRP. Isn't achalasia characterized by loss of nerves at LES=abnormal IRP?
Dr. Pandolfino: A few explanations-If u start w/ basal LES pressure of 12mmHg- u will naturally have an IRP < 15. Another issue is that HRM catheter...