The American Journal of Digestive Diseases

, Volume 17, Issue 5, pp 415–422 | Cite as

A test of gastroesophageal sphincter competence

The common cavity test
  • Donald G. Butterfield
  • John E. StruthersJr
  • J. Philip
  • Showalter BS
Article

Abstract

Gastroesophageal manometrics, using continuously perfused polyvinyl tubes, and acid reflux (pH test) were studied prospectively in 13 patients with, and 14, without symptoms and/or signs of gastroesophageal reflux. Pressures were recorded simultaneously from stomach, gastroesophageal sphincter and distal esophagus at rest and during gradual abdominal compression to 80 mm Hg. Neither the mean resting pressures nor the mean increase in gastric or sphincter pressures, during abdominal compression, were significantly different (P>0.10). Sphincteric yield pressures did not separate the 2 groups. However, the mean esophageal pressure rise was significantly greater (P<0.001) in the symptomatic patients (34±4.5 vs 9.9±3.2 mm Hg). The mean pressure in the stomach, sphincter and esophagus became almost identical in the symptomatic patients—a “common cavity” occurred between stomach and esophagus. Two symptomatic patients had negative pH but positive common cavity tests. No asymptomatic patient had evidence of either reflux or a positive common cavity test.

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Copyright information

© Paul B. Hoeber, Inc. 1972

Authors and Affiliations

  • Donald G. Butterfield
    • 1
  • John E. StruthersJr
    • 1
  • J. Philip
    • 1
  • Showalter BS
    • 1
  1. 1.From the Division of Gastroenterology, Department of MedicineUniversity of Colorado Medical Center and Denver Veterans Administration HospitalDenver

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