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Is abdominal compression a useful stimulation test for analysis of lower esophageal sphincter function?

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Abstract

The change in pressure of competent and incompetent lower esophageal sphincter (LES) due to abdominal compression is still a controversial subject. Therefore, we studied the effect of sustained (SAC) and intermittent (IAC) abdominal compression on lower esophageal sphincter pressure (LESP) in normals (N), patients with hiatus hernia (HH), and patients with scleroderma (S). When resting lower esophageal sphincter pressure exceeded 15 mm Hg, response to SAC and IAC was similar in patients with HH and in normals. On the other hand when basal LESP was below 15 mm Hg, stimulated sphincter pressure during IAC was significantly lower than during SAC. Values recorded during SAC were also falsely high in patients with scleroderma. Values obtained during either SAC or IAC did not depend on presence or absence of reflux symptoms in any group. LES stimulation with IAC gives valid results which correlate closely with LESP. Stress tests with IAC therefore seem to be a useful stimulation test for the analysis of LES function.

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References

  1. Fyke FE Jr, Code CF, Schlegel JF: The gastroesophageal sphincter in healthy human beings. Gastroenterologia 86:135–150, 1956

    Google Scholar 

  2. Nagler R, Spiro HM: Segmental response of the inferior esophageal sphincter to elevated intragastrine pressure. Gastroenterology 40:405–407, 1961

    Google Scholar 

  3. Van Derstappen G, Texter GC Jr: Response of the physiologic gastroesophageal sphincter to increase intra-abdominal pressure. J Clin Invest 43:1856–1868, 1964

    Google Scholar 

  4. Henderson RD, Rodney K: Tone of the gastroesophageal junction: Its response to abdominal compression and serallowing. Can J Surg 14:328–334, 1971

    Google Scholar 

  5. Dodds WJ, Hogan WJ, Niller WN, Stef JJ, Arndorfer RC, Lydon SB: Effect of increased intraabdominal pressure on lower esophageal sphincter pressure. Dig Dis Sci 20:298–308, 1975

    Google Scholar 

  6. Christensen J: Gastrointestinal Motility, Raven Press, New York, 1980.

    Google Scholar 

  7. Lind JF, Warrian WG, Wankling WJ: Responses of the gastroesophageal junctional zone to increases in abdominal pressure. Can J Surg 9:32–38, 1966

    Google Scholar 

  8. Harris LD: Gastrointestinal Motility. Academic Press New York, 1971

    Google Scholar 

  9. Cohen S, Harris LD: Lower esophageal sphincter pressure as an index of lower esophageal sphincter strength. Gastroenterology 58:157–162, 1970

    Google Scholar 

  10. Weihrauch ThR: Esophageal Manometry. Urban and Schwarzenberg, München, 1981

    Google Scholar 

  11. Förster CF, Weihrauch ThR, Brummer A, Vallerius P, Lehmann H: A new electronic transducer system for gastrointestinal pressure studies. Med Progr Technol 4:169–175, 1977

    Google Scholar 

  12. Kaye MD, Showalk JP: Manometric configuration of the lower esophageal sphincter in normal human subjects. Gastroenterology 61:213–223, 1971

    Google Scholar 

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Authors and Affiliations

  1. Department of Gastroenterology, Klinikum Charlottenburg, Free University of Berlin, Spandauer Damm 130, D 1000, Berlin 19, West Germany

    Hans Dieter Janisch, Thomas Robert Weihrauch & Klaus Erich Hampel

  2. Department I of Medicine, University of Mainz, Federal Republic of Germany

    Hans Dieter Janisch, Thomas Robert Weihrauch & Klaus Erich Hampel

Authors
  1. Hans Dieter Janisch
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  2. Thomas Robert Weihrauch
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  3. Klaus Erich Hampel
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Janisch, H.D., Weihrauch, T.R. & Hampel, K.E. Is abdominal compression a useful stimulation test for analysis of lower esophageal sphincter function?. Digest Dis Sci 29, 689–695 (1984). https://doi.org/10.1007/BF01312939

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  • DOI: https://doi.org/10.1007/BF01312939

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