Abstract
Manometric assessment of the diaphragmaticcontribution to the human gastroesophageal barrier isdifficult because it overlaps with that of the loweresophageal sphincter. Our aim was to investigate the barrier components in the rat in which thegastroesophageal junction is widely separated from thehiatus. Rats under anesthesia (N = 119) and after musclerelaxation (N = 14) underwent stationary andpull-through perfusion manometry. Inspiratorytransdiaphragmatic pressure gradient was 5.79 ±1.69 mm Hg and lower esophageal sphincter pressure was14.76 ± 8.63 mm Hg. A 13.78 ± 3.13-mmintraabdominal segment of the esophagus was interposed craniallybetween the sphincter and a group of phasic oscillationswith frequency identical to the respiratory rate andpressure of 13.81 ± 6.54 mm Hg, which disappeared after muscle relaxation. Both components of thegastroesophageal barrier in the rat are widely separatedby a long intraabdominal esophagus. This arrangementallows investigation of the behavior of both components under challengingconditions.
Similar content being viewed by others
REFERENCES
Mittal RK, Rochester DF, McCallum RW: Sphincteric action of the diaphragm during a relaxed lower esophageal sphincter in humans. Am J Physiol 256:G139–G144, 1989
Mittal RK, Fisher MJ: Electrical and mechanical inhibition of the crural diaphragm during transient relaxation of the lower esophageal sphincter. Gastroenterology 99:1265–1268, 1990
Mittal RK, Fisher M, McCallum RW, Rochester DF, Dent J, Sluss J: Human lower esophageal sphincter pressure response to increased intra-abdominal pressure. Am J Physiol 258:G624–G630, 1990
Klein WA, Parkman HP, Dempsey DT, Fisher RS: Sphincter-like thoracoabdominal high pressure zone after esophagogastrectomy. Gastroenterology 105:1362–1369, 1993
Mittal RK: The crural diaphragm, an external lower esophageal sphincter: A definitive study. Gastroenterology 105:1565–1567, 1993
Wang WL, Tovar JA, Eizaguirre I, Aldazabal P: Airway obstruction and gastroesophageal reflux—an experimental study on the pathogenesis of this association. J Pediatr Surg 28:995–998, 1993
Wang WL, Tovar JA, Eizaguirre I, Aldazabal P: Continuous positive airway pressure and gastroesophageal reflux: An experimental study. J Pediatr Surg 29:730–733, 1994
Boyle JT, Altschuler SM, Nixon TE, Tuchman DN, Pack AI, Cohen S: Role of the diaphragm in the genesis of lower esophageal sphincter pressure in the cat. Gastroenterology 88:724–730, 1985
Mittal RK: Infusion manometry and detection of sphincteric function of crural diaphragm. Dig Dis Sci 36(suppl):6–13, 1991
Peck N, Callander N, Watson A: Manometric assessment of the effect of the diaphragmatic crural sling in gastrooesophageal reflux: Implications for surgical management. Br J Surg 82:798–801, 1995
DeTroyer A, Samson M, Sigrist S, Macklem P: Action of the costal and crural parts of the diaphragm on the rib cage in dog. J Appl Physiol 53:30–39, 1982
Höllwarth ME, Uray E, Pesendorfer P: Esophageal manometry. Pediatr Surg Int 1:177–183, 1986
Rights and permissions
About this article
Cite this article
Soto, C., Qi, B., Diez-Pardo, J.A. et al. Identification of Diaphragmatic Crural Component of Gastroesophageal Barrier in the Rat. Dig Dis Sci 42, 2420–2425 (1997). https://doi.org/10.1023/A:1018831705342
Issue Date:
DOI: https://doi.org/10.1023/A:1018831705342