Effects of body position and bolus consistency on the manometric parameters and coordination of the upper esophageal sphincter and pharynx |
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Authors: | June A Castell Christine Boag Dalton Donald O Castell |
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Institution: | (1) the Gastroenterology Section, Bowman Gray School of Medicine, Winston-Salem, North Carolina, USA;(2) Division of Gastroenterology and Hepatology, Thomas Jefferson Medical College, 1025 Walnut Street, 19107 Philadelphia, PA, USA |
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Abstract: | The development of a solid-state intraluminal sphincter transducer has alleviated many of the problems associated with manometric
studies of the upper esophageal sphincter (UES) and pharynx (P). We used this technology to study the effect of position (upright
vs. supine) on resting UES pressures and the pressure dynamics of the UES/P complex during both wet and dry swallows in 11
normal volunteers and the effects of foods of different consistencies on the UES/P swallow dynamics in 10 normal volunteers.
The UES/P coordination parameters were defined as the 15 time intervals that can be measured between any 2 of 6 pertinent
points: the beginning, peak, and end of the pharyngeal contraction and the beginning, nadir, and end of the UES relaxation.
Data from both the circumferential transducer used to measure sphincter pressures and a standard microtransducer used to measure
pharyngeal pressures were collected on-line by an Apple IIe microcomputer and analyzed by programs written in our laboratory.
Significant changes in swallow coordination were measured between upright and supine swallows of the same bolus size, between
wet and dry swallows in the same position, and among foods of varying consistencies. Resting UES pressure was unchanged by
position and pharyngeal contraction pressure was unchanged by bolus size or consistency. |
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Keywords: | Dysphagia Deglutition Deglutition disorders Pharynx Upper esophageal sphincter |
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