scholarly journals A Rapid Pull-Through Technique for Measuring Lower Esophageal Sphincter Pressure

1975 ◽  
Vol 68 (3) ◽  
pp. 437-443 ◽  
Author(s):  
Wylie J. Dodds ◽  
Walter J. Hogan ◽  
John J. Stef ◽  
William N. Miller ◽  
Sean B. Lydon ◽  
...  
Keyword(s):  
Lower Esophageal Sphincter ◽  
Lower Esophageal Sphincter Pressure ◽  
Sphincter Pressure ◽  
Esophageal Sphincter ◽  
Pull Through

Asymmetry of lower esophageal sphincter pressure: is it related to the muscle thickness or its shape?

1997 ◽  
Vol 272 (6) ◽  
pp. G1509-G1517 ◽  
Author(s):  
J. Liu ◽  
V. K. Parashar ◽  
R. K. Mittal
Keyword(s):  
Lower Esophageal Sphincter ◽  
Longitudinal Muscle ◽  
Circular Muscle ◽  
Muscle Thickness ◽  
Close Correlation ◽  
Lower Esophageal Sphincter Pressure ◽  
Sphincter Pressure ◽  
Contraction Phase ◽  
Esophageal Sphincter ◽  
Pull Through

Lower esophageal sphincter (LES) pressure shows axial and circumferential asymmetry, the reasons for which are not clear. Our aim was to determine whether the muscle thickness and shape of the LES were the reasons for the axial and circumferential asymmetry in the LES pressure. High-frequency, catheter-based intraluminal ultrasonography was performed to obtain images of the human LES and esophagus. Station pull-through manometry was performed to record the axial and circumferential asymmetry of LES pressure. Circular and longitudinal muscle were thicker in the LES compared with in the esophagus. There was a close correlation between the axial asymmetry in LES pressure and circular muscle thickness. The thickness of LES muscle increased and decreased with an increase and decrease in the LES pressure, respectively. The circumferential asymmetry in resting LES pressure was related to the noncircular shape of the LES. A swallow-induced LES relaxation was followed by its contraction. During the contraction phase, the LES and esophagus showed relative symmetry in pressure and shape. We conclude that the axial asymmetry of LES pressure is explained by its muscle thickness. On the other hand, circumferential asymmetry is related to the noncircular shape of the LES.

Lower Esophageal Sphincter Pressure Measurement during Cardiac Arrest in Humans: Potential Implications for Ventilation of the Unprotected Airway

2005 ◽  
Vol 103 (4) ◽  
pp. 897-899 ◽  
Author(s):  
Andrea Gabrielli ◽  
Volker Wenzel ◽  
A Joseph Layon ◽  
Achim von Goedecke ◽  
Nicholas G. Verne ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Lower Esophageal Sphincter ◽  
Pressure Measurement ◽  
Lower Esophageal Sphincter Pressure ◽  
Sphincter Pressure ◽  
Unprotected Airway ◽  
Esophageal Sphincter

Effect of cholestyramine and cholecystokinin receptor antagonist CR1505 (loxiglumide) on lower esophageal sphincter pressure in man

1993 ◽  
Vol 38 (10) ◽  
pp. 1889-1892 ◽  
Author(s):  
A. A. M. Masclee ◽  
J. B. M. J. Jansen ◽  
L. C. Rovati ◽  
C. B. H. W. Lamers
Keyword(s):  
Receptor Antagonist ◽  
Lower Esophageal Sphincter ◽  
Lower Esophageal Sphincter Pressure ◽  
Sphincter Pressure ◽  
Cholecystokinin Receptor ◽  
Esophageal Sphincter

Healing of erosive esophagitis with sucralfate and cimetidine: Influence of pretreatment lower esophageal sphincter pressure and serum pepsinogen I levels

1991 ◽  
Vol 91 (2) ◽  
pp. S107-S113 ◽  
Author(s):  
Emilio Ros ◽  
Victor Toledo-Pimentel ◽  
Josep M. Bordas ◽  
Luis Grande ◽  
Gloria Lacima ◽  
...  
Keyword(s):  
Lower Esophageal Sphincter ◽  
Erosive Esophagitis ◽  
Lower Esophageal Sphincter Pressure ◽  
Sphincter Pressure ◽  
Serum Pepsinogen ◽  
Pepsinogen I ◽  
Esophageal Sphincter

Outcome of Pneumatic Balloon Dilatation in Achalasia Cardia

2021 ◽  
Vol 10 (1) ◽  
pp. 8-13
Author(s):  
Shankar Baral ◽  
Bidhan NIdhi Paudel ◽  
Ajit Khanal ◽  
Jiwan Thapa ◽  
Bhuwneshwer Yadhav ◽  
...  
Keyword(s):  
Observational Study ◽  
Lower Esophageal Sphincter ◽  
Poor Response ◽  
Lower Esophageal Sphincter Pressure ◽  
Pneumatic Dilatation ◽  
Response To Treatment ◽  
Sphincter Pressure ◽  
Achalasia Cardia ◽  
Type Iii ◽  
Esophageal Sphincter

Background: Achalasia Cardia is a rare esophageal motility disorder. Among various treatment options, Pneumatic Dilatation (PD) is the most widely used and cost effective modality till date. This is the first observational study aiming to evaluate the short term response and complications of PD for Achalasia Cardia in Nepal. Methods: This prospective observational study was conducted between 28th Jan 2020 to 27th Jan 2021. It included 39 patients with Achalasia Cardia diagnosed by clinical presentation, esophagoscopy, barium esophagogram and high resolution manometry. Two patients of Type III achalasia were excluded from study. Thirty seven patients underwent pneumatic dilatation with 30 mm Rigiflex balloon (Boston Scientific, USA) for a duration of 1 minute. Response was assessed by Eckardts score at 3 and 6 months. Result: Among 39 cases (mean age= 39.03±15.017 years, 59% men), commonest was Type II Achalasia (71.8%) followed by Type I (23.1%) and Type III (5.1%). Dysphagia was present in all patients (100%), followed by weight loss (84.6%), regurgitation (79.5%) and chest pain (35.9%). Mean basal Eckardts score and Lower Esophageal Sphincter pressure of the study population was 7.81±1.24 and 24.40±6.83 respectively. Response to pneumatic dilatation was 89.2%. Eckardts score changed significantly from7.81±1.24 to 1.03±1.82 at 6 months (p<0.001). None of the patients had major complications. Younger age (23±6.377 years) had poor response to treatment, while predilatation Lower Esophageal Sphincter pressure, gender and type of achalasia did not affect the treatment outcome. Conclusion: PD is safe and effective treatment modality for Achalasia. Younger patients have poor response to treatment with Pneumatic Dilatation.  

scholarly journals Effect of intraduodenal peptone on the lower esophageal sphincter pressure in the dog

1978 ◽  
Vol 75 (2) ◽  
pp. 283-285 ◽  
Author(s):  
H.R. Koelz ◽  
G. Lepsien ◽  
A.P. Hollinger ◽  
H. Säuberli ◽  
F. Largiadér ◽  
...  
Keyword(s):  
Lower Esophageal Sphincter ◽  
Lower Esophageal Sphincter Pressure ◽  
Sphincter Pressure ◽  
Esophageal Sphincter

Esophageal manometry in the opossum.

1977 ◽  
Vol 233 (3) ◽  
pp. E152
Author(s):  
K Schulze ◽  
W J Dodds ◽  
J Christensen ◽  
J D Wood
Keyword(s):  
Animal Model ◽  
Lower Esophageal Sphincter ◽  
Esophageal Manometry ◽  
Lower Esophageal Sphincter Pressure ◽  
Upper Esophageal Sphincter ◽  
Sphincter Pressure ◽  
Coronal Section ◽  
Esophageal Sphincter ◽  
Human Esophagus

The opossum esophagus is commonly used as an animal model of the human esophagus. We used esophageal manometry in normal animals to provide basal data about normal esophageal motor functions in vivo in this species. At rest, separate and distinct high pressure zones can be recorded at the level of the lower esophageal sphincter, diaphragmatic hiatus, aortic arch, and upper esophageal sphincter. Each zone demonstrates a characteristic pattern of pressures in the radii of the coronal section and a characteristic response to swallowing. The hiatal and aortic zones can be mistaken for the esophageal sphincters. Pressures in the sphincters fall with swallowing. Peristalsis is not bolus-dependent and occurs with 98% of swallows. Pressures generated by peristalsis are greater in the middle of the esophagus than at the ends. Values for resting lower esophageal sphincter pressure and the characteristics of peristalsis were reproducible between different studies in the same animals.

scholarly journals Lower Esophageal Sphincter Pressure Changes After Food Ingestion

1972 ◽  
Vol 63 (5) ◽  
pp. 778-783 ◽  
Author(s):  
Otto T. Nebel ◽  
Donald O. Castell
Keyword(s):  
Lower Esophageal Sphincter ◽  
Lower Esophageal Sphincter Pressure ◽  
Sphincter Pressure ◽  
Food Ingestion ◽  
Esophageal Sphincter ◽  
Pressure Changes
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