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Esophageal Motor Physiology

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Principles of Deglutition

Abstract

The esophagus is a muscular tube that serves to propel the ingested food to the stomach by sequential, aborally progressive contraction of the esophageal circular muscle in concert with shortening of the esophagus effected by longitudinal muscle contraction. Whereas esophageal muscle contraction in the proximal striated muscle segment is activated directly via vagal efferent neurons, control of peristalsis in the distal smooth muscle segment is more complex. Although vagal efferent pathways are necessary for initiating swallow-induced peristalsis, peripheral neuromuscular mechanisms play a key role in generating the sequential contraction of circular muscle in the smooth muscle esophagus, via a complex interplay between cholinergic and nitrergic nerves, as well as the myogenic properties of the muscle.

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Authors and Affiliations

  1. Division of Gastroenterology, Department of Medicine, Hotel Dieu Hospital, Kingston, ON, Canada

    William G. Paterson MD, FRCPC

  2. Department of Medicine/Gastroenterology, Kingston General Hospital, Kingston, ON, Canada

    Nicholas Evans Diamant MDCM, FRCP(C)

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  1. William G. Paterson MD, FRCPC
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  2. Nicholas Evans Diamant MDCM, FRCP(C)
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Correspondence to William G. Paterson MD, FRCPC .

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Editors and Affiliations

  1. Div. Gastroenterology & Hepatology, Medical College of Wisconsin, West Wisconsin Avenue 9200, Milwaukee, 53226, Wisconsin, USA

    Reza Shaker

  2. , Dpt Otolaryngology/Head & Neck Surg., UC Davis Medical Center, Stockton Blvd. 2521, Sacramento, 95817, California, USA

    Peter C. Belafsky

  3. Ctr for Voice, Airway & Swallowing Disor, Department of Otolaryngology, Georgia Health Sciences University, 15th Street 1120, Augusta, 30912, Georgia, USA

    Gregory N. Postma

  4. , Dpt of Communication Sciences & Disorder, University of Wisconsin-Milwaukee, East Hartford Ave 2400, Milwaukee, 53201, Wisconsin, USA

    Caryn Easterling

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Paterson, W.G., Diamant, N.E. (2013). Esophageal Motor Physiology. In: Shaker, R., Belafsky, P., Postma, G., Easterling, C. (eds) Principles of Deglutition. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-3794-9_22

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  • DOI: https://doi.org/10.1007/978-1-4614-3794-9_22

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