Skip to main content

The Manometric Examination of the Esophagus

  • Chapter
Diseases of the Esophagus

Part of the book series: Handbuch der inneren Medizin ((INNEREN 5,volume 3))

Abstract

Hippocrates [quoted by Sanchez et al. (1953)] was probably the first to perform experimental studies of the esophagus, but it was 1747 before Fredericus Bernardus Albinus [quoted by Eykman (1903)] showed that all swallowed substances are transported into the stomach via the esophagus. The actual study of esophageal motility begins with the experiments of Arloing (1877) and especially of Kronecker and Meltzer (1883). The latter used a balloon kymographic system which was taken over, with minor modifications, by many investigators (Cannon and Washburn, 1912; Carlson, 1916; Payne and Poulton, 1927; Abbott and Pendergrass, 1936; Zeller and Burget, 1937; Ingelfinger and Abbott, 1940; Kramer and Ingelfinger, 1949; Duwez, 1950; Foulk et al., 1954).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Abbott, W. O., Pendergrass, E. P.: Intubation studies of the human small intestine. V. The motor effects of single clinical doses of morphine sulphate in normal subjects. Amer. J. Roentgenol. 35, 289–299 (1936).

    CAS  Google Scholar 

  • Arloing, F.: Application de la méthode graphique à l’étude du méchanisme de la deglutition. Thèse de Paris, 1877.

    Google Scholar 

  • Benz, L. J., Hootkin, L. A., Margtjlies, S., Donner, M. W., Caxjthorne, R. T., Hendricks, T. R.: A comparison of clinical measurements of gastroesophageal reflux. Gastroenterology 62, 1–5 (1972).

    CAS  PubMed  Google Scholar 

  • Brody, D. A., Quigley, J. P.: Registration of digestive tract intralumen pressures. In: Methods in medical research, vol. 4, ed. Visscher, M. Chicago: Year Book Publishers 1951.

    Google Scholar 

  • Cannon, W. B., Washburn, A. L.: An explanation of hunger. Amer. J. Physiol. 29, 441 (1912).

    Google Scholar 

  • Carlson, A. J.: The control of hunger in health and disease. Chicago: Chicago Univ. Press 1916.

    Google Scholar 

  • Clark, C. G., Vane, J. R.: The cardiac sphincter in the cat. Gut 2, 252–262 (1916).

    Article  Google Scholar 

  • Code, C. F., Hightower, N. C., Morlock, C. G.: Motility of the alimentary canal in man. Amer. J. Med. 13, 328–351 (1952).

    Article  CAS  PubMed  Google Scholar 

  • Code, C. F., Schlegel, J. F.: The pressure profile of the gastroesophageal sphincter in man: An improved method of detection. Proc. Mayo Clin. 33, 406–414 (1958).

    CAS  Google Scholar 

  • Cohen, B. R.: Cardiospasm in achalasia; demonstration of an abnormally elevated esophagogastric sphincter pressure with partial relaxation on swallowing. Gastroenterology 48, 864 (1965).

    Google Scholar 

  • Cohen, B. R., Lazar, H. P., Wolf, B. S., Kanowitz, H. D.: The clinical value of esophageal motility study. J. Amer. med. Ass. 187, 819–825 (1964).

    CAS  Google Scholar 

  • Cohen, B. R., Wolf, B. S.: Roentgen localization of the physiologically determined esophageal hiatus. Gastroenterology 43, 43–50 (1962).

    CAS  PubMed  Google Scholar 

  • Cohen, S., Harris, L. D.: Lower esophageal sphincter pressure as an index of lower esophageal sphincter strength. Gastroenterology 58, 157–162 (1970).

    CAS  PubMed  Google Scholar 

  • Dodds, W. J., Hogan, W. J., Reid, D. P., Stewart, E. T., Lineham, J. H., Stef, J. J., Arndorfer, R. C.: Variables affecting manometric recording of pressure amplitude during esophageal peristalsis. Gastroenterology 62, 742 (1972 b).

    Google Scholar 

  • Dodds, W. J., Hogan, W. J., Reid, D. P., Stewart, E. T., Stef, J. J., Arndorfer, R. C.: Evaluation of pharyngeal peristalsis using a strain sensitive recording system. Gastroenterology 62, 743 (1972 a).

    Google Scholar 

  • Duwez, Y.: La motricité de 1’œsophage. Etude éxperimentale. Acta gastro-ent. belg. 13, 961–968 (1950).

    CAS  Google Scholar 

  • Eykman, P. H.: Der Schluckact. Pflügers Arch. ges. Physiol. 99, 513 (1903).

    Article  Google Scholar 

  • Fotjlk, W. T., Code, C. F., Morlock, C. G., Bargen, J. A.: A study of the motility patterns and the basic rhythm in the duodenum and upper part of the jejunum of human beings. Gastroenterology 26, 601–611 (1954).

    Google Scholar 

  • Gauer, O. H., Gienapp, E.: A miniature pressure-recording device. Science 112, 404–405 (1950).

    Article  CAS  PubMed  Google Scholar 

  • Goyal, R. K., Sangree, M. H., Hersch, T., Spiro, H. M.: Pressure inversion point at the upper high pressure zone and its genesis. Gastroenterology 59, 754–759 (1970).

    CAS  PubMed  Google Scholar 

  • Haddad, J. K.: Relation of gastroesophageal reflux to yield sphincter pressures. Gastroenterology 58, 175–184 (1970).

    CAS  PubMed  Google Scholar 

  • Harris, L. D., Pope, C. E., II: Squeeze vs. resistance; an evaluation of the mechanism of sphincter competence. J. clin. Invest. 43, 2272–2278 (1964).

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Harris, L. D., Pope, C. E., II: The pressure inversion point: its genesis and reliability. Gastroenterology 51, 641–648 (1966).

    CAS  PubMed  Google Scholar 

  • Harris, L. D., Winans, C. S., Pope, C. E., II: Determination of yield pressures: a method for measuring anal sphincter competence. Gastroenterology 50, 754–760 (1966).

    CAS  PubMed  Google Scholar 

  • Heitmann, P., Wolf, B. S., Sokol, E. M., Cohen, B. R.: Simultaneous cineradiographicmanometric study of the distal esophagus: small hiatal hiernias and rings. Gastroenterology 50, 737–753 (1966).

    CAS  PubMed  Google Scholar 

  • Hollis, J. B., Castell, D. O.: Amplitude of esophageal peristalsis as termined by rapid infusion. Gastroenterology 63, 417–422 (1972).

    CAS  PubMed  Google Scholar 

  • Ingelfinger, F. J., Abbott, W. O.: Intubation studies of the human small intestine. XX. The diagnostic significance of motor disturbances. Amer. J. dig. Dis. 7, 1–7 (1940).

    Article  Google Scholar 

  • Kaye, M. D., Showalter, J. P.: Manometric configuration of the lower esophageal sphincter in normal human subjects. Gastroenterology 61, 213–223 (1971).

    CAS  PubMed  Google Scholar 

  • Kramer, P., Ingelfinger, F. J.: Motility of the human esophagus in control subjects and in patients with esophageal disorders. Amer. J. Med. 7, 168–173 (1949).

    Article  CAS  PubMed  Google Scholar 

  • Kronecker, H., Meltzer, S. J.: Der Schluckmechanismus, seine Erregung und seine Hemmung. Arch. Physiol. Suppl., 7, 328–332 (1883).

    Google Scholar 

  • Lorber, S. H., Shay, H.: Technical and physiological considerations in measuring gastrointestinal pressures in man. Gastroenterology 27, 478–87 (1954).

    CAS  PubMed  Google Scholar 

  • Millhon, W. A., Hoffman, D. E., Jarvis, P., Cross, C. J., Millhon, J. S., Crites, N. A.: Preliminary report on Millhon-Crites intraesophageal motility probe. Amer. J. dig. Dis. 13, 929–934 (1968).

    Article  CAS  PubMed  Google Scholar 

  • Millhon, W. A., Texter, E. C., Hightowee, N. C.: Comparison of the Millhon-Crites esophageal motility probe with conventional open-tip manometry. Scientific exhibit 4th World Congress of Gastroenterology, Copenhagen, Denmark, July 12–18, 1970.

    Google Scholar 

  • Payne, W. W., Poulton, E. P.: Experiments on visceral sensation. I. The relation of pain to activity in the human esophagus. J. Physiol. (Lond.) 63, 217–241 (1927).

    CAS  Google Scholar 

  • Pert, J. H., Davidson, M., Almy, T. T., Sleisenger, M. H.: Esophageal catheterization studies. I. The mechanism of swallowing in normal subjects with particular reference to the vestibule (esophagogastric sphincter). J. clin. Invest. 38, 397–406 (1950).

    Article  Google Scholar 

  • Pope, C. E., II: A dynamic test of sphincter strength: its application to the lower esophageal sphincter. Gastroenterology 52, 779–786 (1967).

    PubMed  Google Scholar 

  • Pope, C.E., II: Effect of infusion on force of closure measurements in the human esophagus. Gastroenterology 58, 616–624 (1970).

    PubMed  Google Scholar 

  • Pope, C. E., II, Horton, P. F.: Intraluminal force transducer measurements of human esophageal peristalsis. Gut 13, 464–470 (1972).

    Article  PubMed  Google Scholar 

  • Quigley, J. P., Brody, D. A.: Intralumen pressures: gastrointestinal propulsion, gastric evacuation, pressure-wall-tension relationship. In: Glaser, R., Medical physics. Chicago: The Year Book Publishers 1950.

    Google Scholar 

  • Quigley, J. P., Brody, D. A.: A physiologic and clinical consideration of the pressure developed in the digestive tract. Amer. J. Med. 13, 73–81 (1952).

    Article  CAS  PubMed  Google Scholar 

  • Quigley, J. P., Brody, D. A., Kay, B., Landolina, W. C., McAlister, J. H.: Accurate registration of intralumen pressures of the digestive tract by two new methods. Fed. Proc. 9, 102 (1950).

    Google Scholar 

  • Rinaldo, J. A., Levey, J. F.: Correlation of several methods for recording esophageal sphincteral pressures. Amer. J. dig. Dis. 3, 882–890 (1968).

    Article  Google Scholar 

  • Sanchez, G. C., Kramer, P., Ingelfinger, F. J.: Motor mechanisms of the esophagus, particularly of the distal portion. Gastroenterology 25, 321–332 (1953).

    CAS  PubMed  Google Scholar 

  • Shepherd, J. K., Diamant, N. E.: Mecholyl test: Comparison of balloon kymography and intraluminal pressure measurement. Gastroenterology 63, 557–563 (1972).

    CAS  PubMed  Google Scholar 

  • Skinner, D. B., Booth, D. J.: Assessment of distal esophageal function in patients with hiatal hernia and/or gastroesophageal reflux. Ann. Surg. 172, 627–637 (1970).

    Article  CAS  PubMed  Google Scholar 

  • Sokol, E. M., Heitmann, P., Wolf, B. S., Cohen, B. R.: Simultaneous cineradiographic and manometric study of the pharynx, hypopharynx, and cervical esophagus. Gastro enterology 51, 960–974 (1966).

    CAS  Google Scholar 

  • Texter, E. C., Jr.: Motility comes of age. Amer. J. dig. Dis. 16, 682–688 (1971c).

    Google Scholar 

  • Texter, E. C., Jr., Martin, G. A., Ray, R. S., Millhon, W. A.: Comparison of the EMP-3 esophageal motility probe with conventional open-tip manometry. Fed. Proc. 30, 699 (1971a).

    Google Scholar 

  • Texter, E. C., Jr., Martin, G. A., Ray, R. S., Jr., Millhon, W. A.: Comparison of the EMP-3 esophageal motility probe with perfused and non-perfused open-tip manometry. Rendic. R. Gastroenterol. 3, 144 (1971b).

    Google Scholar 

  • Texter, E. C., Smith, H. W., Moeller, H. C., Barborka, C. J.: Intraluminal pressures from the upper gastrointestinal tract. I. Correlations with motor activity in normal subjects and patients with esophageal disorders. Gastroenterology 32, 1013–1024 (1957).

    PubMed  Google Scholar 

  • Waldeck, F., Jennewein, H. M., Siewert, R., Nieder, B.: Manometric methods for functioned analysis of the lower esophageal sphincter (LES) and the act of swallowing. In: The function of the esophagus, ed. Sørensen, H. R., Jepsen, O., Pedersen, S. A. Odense: Odense University Press 1973.

    Google Scholar 

  • Wankling, W. J., Warrian, W. G., Lind, J. F.: The gastroesophageal sphincter in hiatus hernia. Canad. J. Surg. 8, 61 (1965).

    CAS  PubMed  Google Scholar 

  • Winans, C. S.: Manometric asymmetry of the lower esophageal high pressure zone. Gastroenterology 62, 830 (1972a).

    Google Scholar 

  • Winans, C. S.: The pharyngo-esophageal closure mechanism: a manometric study. Gastroenterology 63, 768–777 (1972b).

    CAS  PubMed  Google Scholar 

  • Winans, C. S., Harris, L. D.: Quantitation of lower esophageal sphincter competence. Gastroenterology 52, 773–778 (1967).

    CAS  PubMed  Google Scholar 

  • Zeller, W., Burget, G. E.: A study of the cardia. Amer. J. dig. Dis. 4, 113–120 (1937).

    Google Scholar 

Download references

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 1974 Springer-Verlag, Berlin · Heidelberg

About this chapter

Cite this chapter

Pelemans, W., Texter, E.C. (1974). The Manometric Examination of the Esophagus. In: Diseases of the Esophagus. Handbuch der inneren Medizin, vol 3. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-86429-2_8

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-86429-2_8

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-86431-5

  • Online ISBN: 978-3-642-86429-2

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics