scholarly journals The Effects of Bolus Volume and Texture on Pharyngeal Pressure Events Using High-resolution Manometry and Its Comparison with Videofluoroscopic Swallowing Study

2016 ◽  
Vol 22 (2) ◽  
pp. 231-239 ◽  
Author(s):  
Ju Seok Ryu ◽  
Donghwi Park ◽  
Yoongul Oh ◽  
Seok Tae Lee ◽  
Jin Young Kang
Keyword(s):  
High Resolution ◽  
Bolus Volume ◽  
Videofluoroscopic Swallowing Study ◽  
High Resolution Manometry ◽  
Pharyngeal Pressure

scholarly journals Adequate Number of Swallows for Pharyngeal Pressure Measurement of a Subject using High-resolution Manometry

2020 ◽  
Author(s):  
Matsusato Tsuyumu ◽  
Takanori Hama ◽  
Takakuni Kato ◽  
Hiromi Kojima
Keyword(s):  
High Resolution ◽  
Major Change ◽  
Upper Esophageal Sphincter ◽  
Rate Of Change ◽  
Sphincter Pressure ◽  
High Resolution Manometry ◽  
Average Value ◽  
Pharyngeal Pressure ◽  
Single Person ◽  
The Mean

Abstract Introduction The number of pressure measurements that need to be recorded using high-resolution manometry (HRM) for the accurate evaluation of pharyngeal function is not well established. Objective The purpose of this study is to clarify the number of swallows required to obtain an accurate pharyngeal manometric profile of a person. Methods Forty healthy adults performed a dry swallow and bolus swallows using 3-, 5-, or 10 ml of water and underwent measurements using the Starlet HRM system. Each subject underwent 10 swallows for each of the four bolus volume conditions. Results The mean of up to seven measurements of maximum pre-swallow upper esophageal sphincter pressure with 10 ml of swallow was close to the mean of up to eight measurements in 95% of the subjects. Similarly, the rate of change of the average for the eighth and ninth measurements and the rate of change for the average of the ninth and tenth measurements were less than 5%. When the other parameters were similarly measured up to the sixth measurement, no major change in the average value was observed even if more measurements were taken. Conclusion A minimum of six measurements are required, and seven swallows are sufficient for evaluating the pharyngeal manometric profile of a single person. This number of measurements can be a useful criterion when performing HRM measurements on individual subjects.

Effect of bolus volume on pharyngeal swallowing assessed by high-resolution manometry

2014 ◽  
Vol 128 ◽  
pp. 46-51 ◽  
Author(s):  
Tuo Lin ◽  
Guangqing Xu ◽  
Zulin Dou ◽  
Yue Lan ◽  
Fan Yu ◽  
...  
Keyword(s):  
High Resolution ◽  
Bolus Volume ◽  
High Resolution Manometry ◽  
Pharyngeal Swallowing

Evaluation of pharyngeal swallowing pressure using high-resolution manometry during transoral surgery for oropharyngeal cancer

2021 ◽  
Vol 135 (2) ◽  
pp. 153-158
Author(s):  
K Fujiwara ◽  
S Koyama ◽  
K Taira ◽  
K Kawamoto ◽  
T Fukuhara ◽  
...  
Keyword(s):  
High Resolution ◽  
Oropharyngeal Cancer ◽  
Objective Evaluation ◽  
Transoral Surgery ◽  
Swallowing Function ◽  
High Resolution Manometry ◽  
Pharyngeal Pressure ◽  
Significant Difference ◽  
Upper Oesophageal Sphincter ◽  
The Impact

AbstractBackgroundTransoral robotic surgery is frequently described, driven by the desire to offer a less morbid alternative to chemoradiation. However, the objective evaluation of post-operative function has rarely been reported. Therefore, high-resolution manometry was used in this study to evaluate the impact of changes in peri-operative swallowing function on pharyngeal pressure events.MethodsTen patients with various stages of oropharyngeal cancer underwent transoral surgery. High-resolution manometry and videofluoroscopic swallow studies were performed before surgery and two months afterwards. The following parameters were obtained: velopharyngeal and mesopharyngeal post-deglutitive upper oesophageal sphincter pressures, velo-meso-hypopharyngeal contractile integral, upper oesophageal sphincter relaxation pressure, and pharyngeal velocity.ResultsThere was no significant difference in pharyngeal pressure or contractile integral pre- versus post-operatively. However, pharyngeal velocity was significantly higher post-operatively than pre-operatively.ConclusionHigh-resolution manometry showed that transoral surgery in patients without pre-operative dysphagia preserved pharyngeal constriction. However, transoral surgery might produce scar formation in the pharynx, which could lead to narrowing of the pharynx.

scholarly journals Effects of Head Rotation and Head Tilt on Pharyngeal Pressure Events Using High Resolution Manometry

2015 ◽  
Vol 39 (3) ◽  
pp. 425 ◽  
Author(s):  
Cheol Ki Kim ◽  
Ju Seok Ryu ◽  
Sun Hong Song ◽  
Jung Hoi Koo ◽  
Kyung Duck Lee ◽  
...  
Keyword(s):  
High Resolution ◽  
Head Tilt ◽  
Head Rotation ◽  
High Resolution Manometry ◽  
Pharyngeal Pressure

scholarly journals Pharyngeal swallow adaptations to bolus volume measured with high-resolution manometry

2010 ◽  
Vol 120 (12) ◽  
pp. 2367-2373 ◽  
Author(s):  
Matthew R. Hoffman ◽  
Michelle R. Ciucci ◽  
Jason D. Mielens ◽  
Jack J. Jiang ◽  
Timothy M. McCulloch
Keyword(s):  
High Resolution ◽  
Bolus Volume ◽  
High Resolution Manometry ◽  
Pharyngeal Swallow

scholarly journals Automated Analysis of Pharyngeal Pressure Data Obtained with High-Resolution Manometry

Dysphagia ◽  
2010 ◽  
Vol 26 (1) ◽  
pp. 3-12 ◽  
Author(s):  
Jason D. Mielens ◽  
Matthew R. Hoffman ◽  
Michelle R. Ciucci ◽  
Jack J. Jiang ◽  
Timothy M. McCulloch
Keyword(s):  
High Resolution ◽  
Automated Analysis ◽  
Pressure Data ◽  
High Resolution Manometry ◽  
Pharyngeal Pressure

Deglutitive upper esophageal sphincter relaxation: a study of 75 volunteer subjects using solid-state high-resolution manometry

2006 ◽  
Vol 291 (3) ◽  
pp. G525-G531 ◽  
Author(s):  
Sudip K. Ghosh ◽  
John E. Pandolfino ◽  
Qing Zhang ◽  
Andrew Jarosz ◽  
Peter J. Kahrilas
Keyword(s):  
Solid State ◽  
High Resolution ◽  
Detailed Analysis ◽  
Automated Analysis ◽  
Upper Esophageal Sphincter ◽  
Normative Values ◽  
Bolus Volume ◽  
High Resolution Manometry ◽  
Pressure Profiles ◽  
Esophageal Sphincter

This study aimed to use a novel high-resolution manometry (HRM) system to establish normative values for deglutitive upper esophageal sphincter (UES) relaxation. Seventy-five asymptomatic controls were studied. A solid-state HRM assembly with 36 circumferential sensors spaced 1 cm apart was positioned to record from the hypopharynx to the stomach. Subjects performed ten 5-ml water swallows and one each of 1-, 10-, and 20-ml volume swallows. Pressure profiles across the UES were analyzed using customized computational algorithms that measured 1) the relaxation interval (RI), 2) the median intrabolus pressure (mIBP) during the RI, and 3) the deglutitive sphincter resistance (DSR) defined as mIBP/RI. The automated analysis succeeded in confirming bolus volume modulation of both the RI and the mIBP with the mean RI ranging from 0.32 to 0.50 s and mIBP ranging from 5.93 to 13.80 mmHg for 1- and 20-ml swallows, respectively. DSR was relatively independent of bolus volume. Peak pharyngeal contraction during the return to the resting state postswallow was almost 300 mmHg, again independent of bolus volume. We performed a detailed analysis of deglutitive UES relaxation with a novel HRM system and customized software. The enhanced spatial resolution of HRM allows for the accurate, automated assessment of UES relaxation and intrabolus pressure characteristics, in both cases confirming the volume-dependent effects and absolute values of these parameters previously demonstrated by detailed analysis of concurrent manometry/fluoroscopy data. Normative values were established to aid in future clinical and investigative studies.

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