|There are different types of manometry. The one you would need is called an Antro-Duodinal one. It will measure the contractions in the stomach through the first parts of the intestines to see IF they contract and if they contract together to pass food through the system and out the other end.|
The tube *can* be placed in the nose and through to the intestines but this is rarely done. Our old ST, her DD had it done as a teen this way. It's NO picinic that is for sure.
The vast majority of kids who have it done have a G tube so the probes are placed through there. Jedd's probes were placed while he was awake (VERY uncommon) and it was shear he!!.
They were placed in IR (intervental radiology) without sedation. Sedation is the NORM for the placement. :-(
The wrapped Jedd up like a mummy and then literally taped him to the table all while I was trying to keep him calm. It did not work. He screamed for the entire hour it took to place the probes. At the end he emptied his bowel and vomited bile. It was not a pretty sight. He also broke blood vessels on his face, neck, shoulders, upper back and arms. When I say that he screamed the entire time, I really do mean scream. Like that I am totally terrified get away from me scream!!! It was awful. Really awful.
The A and D man. test is the number 1 most reliable test for gastric emptying. The one plus of not getting sedated was that we knew for 100% sure that Jedd's results were true. Sometimes the sedation can alter it and make it look like there is slowing when in reality it is the body just being slow after being sedated.
BTW Jedd was supposed to be sedated for it per the GIs (out of state, not here at home) orders. It was written in the chart.
To add insult to injury, the night before we had spent about 45 mins placing an IV for the sedation. Prior to becoming an oral eater Jedd was in a constant state of mild dehydration. So, that made him a really really hard stick.
All in all, we ARE glad we got it done though. It yielded some answers.
And yes, mommato3 is right, we have done 2 GES that were completely normal and the Man. test showed some slowing. We have been able to come off motility meds and control Jedd's with diet with success. I am amazed.
IMHO I would only do the Man test if there are really GREAT issues going on.
Let me know if you have any other questions...I'll answer them for you. If we had to do it over again, we most certainly would though. I just don't think you will find a GI motility specialist who will do the Man. test on a kid without a tube.
Our old ST who had it done on her DD. She was a teen and they had it done in N.C. somewhere.