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Doody's Review ServiceReviewer: Lisbeth A Selby, M.D.(University of Kentucky College of Medicine)
Description: This atlas depicts the standard manometric tracings of motility derangements in a variety of disease states and then presents the corresponding high resolution manometry (HRM) tracings. These comparisons facilitate pattern recognition of HRM. A particular strength of this atlas lies in the detailed illustrations and legends.
Purpose: The purpose is to facilitate pattern recognition with HRM, a relatively new motility diagnostic tool. A book such as this is helpful with HRM increasingly used in many motility labs, and this one is well written and organized. In general, motility evaluation is somewhat abstract and difficult to understand, but this book breaks the process into manageable pieces for those already familiar with low resolution esophageal manometry. I am not sure, however, of the utility of this book for the novice.
Audience: This book would be most useful for persons working closely with gastrointestinal diagnostic motility labs, such as nurses, technicians, and the physicians charged with the interpretation of exams.
Features: HRM features of the esophagus, upper GI tract, and anorectum are covered. The esophageal section surely will be the most relevant at this point since esophageal HRM systems are commonly commercially available. In general, the book is helpful with many detailed color illustrations and clear, concise legends. However, the legends to the graphics are fragmented, which makes them difficult to follow. References are also conspicuously absent.
Assessment: This will be a useful reference for our esophageal motility lab. In its careful and concise explanations of HRM phenomena, it is comparable to a well-known book on standard esophageal motility testing, Esophageal Motility Testing, 2nd edition, Castell and Castell (Appleton & Lange, 1994). Although the sections on upper GI and anorectal HRM are equally well written, with the notable limitation of the format of the legends, these probably will not be as useful since neither is in wide clinical use at this time.