A precise, real-time map of how the esophagus moves, and where the mechanics break down.
Esophageal manometry maps the muscular mechanics of swallowing in real time, capturing coordinated pressure events that imaging, endoscopy, and breath testing cannot see.
A catheter lined with closely spaced pressure sensors generates a continuous, spatially resolved picture of pressure activity as you swallow. The result shows not just whether the esophagus is contracting, but where, in what sequence, with what force, and whether the lower esophageal sphincter relaxes appropriately with each swallow.
Manometry is frequently ordered alongside a broader reflux evaluation, since impaired esophageal clearance is a common contributor to reflux that medication alone doesn't resolve. See our GERD and reflux evaluation for how the two connect.
Patients with persistent dysphagia, unexplained chest discomfort, or reflux unresponsive to standard therapy, particularly where an upper endoscopy has already come back normal.