Skip to main content

Muscular Architecture and Manometric Image of Gastroesophageal Barrier in the Rat

Abstract

The two components of the gastroesophagealbarrier, the sphincter and the crural sling, closelyoverlap in humans, whereas they are widely separated inthe rat. This investigation correlates the anatomical components of the barrier and their manometriccounterparts in this animal. Sphincteric and cruralsling pressures were measured in four quadrants in 23rats. Muscle thickness was measured at nine levels of the gastroesophageal junction in the samequadrants in 12 rats and the muscular architecture ofthe region was studied in 10 fresh specimens. Themanometric sphincteric component is stronger on theright side where the thickest muscle fibers anchor tothe anterior and posterior borders of a mucosal ridgethat almost surround the cardia. Conversely, the slingpressure is highest towards the left where the muscular bundles straddle the esophagus. Inconclusion, there is a close correspondence between themanometric image and the muscular architecture of thecomponents of the gastroesophageal barrier in the rat. The anatomical arrangement of U-shapedmuscular bundles oriented in opposite directions createsa particularly powerful antireflux mechanism.

This is a preview of subscription content, access via your institution.

REFERENCES

  1. Stein H, Liebermann-Meffert D, DeMeester T, Siewert JR: Three-dimensional pressure image and muscular structure of the human lower esophageal sphincter. Surgery 117:692–698, 1995

    Google Scholar 

  2. Mittal RK: The crural diaphragm, an external lower esophageal sphincter: A definitive study. Gastroenterology 105:1565–1577, 1993

    Google Scholar 

  3. Soto C, Qi B, Diez-Pardo JA, Tovar JA: Identification of the diaphragmatic crural component of the gastroesophageal barrier in the rat. Dig Dis Sci 42:2420–2425, 1997

    Google Scholar 

  4. Wang WL, Tovar JA, Eizaguirre I, Aldazabal P: Airway obstruction and gastroesophageal reflux. An experimental study of the pathogenesis of this associations. J Pediatr Surg 28:995–998, 1993

    Google Scholar 

  5. 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

    Google Scholar 

  6. Qi B, Diez-Pardo JA, Soto C, Tovar JA: Transdiaphragmatic pressure gradients and lower esophageal sphincter after tight abdominal wall plication in the rat. J Pediatr Surg 31:1666–1669, 1996

    Google Scholar 

  7. Qi B, Soto C, Diez-Pardo JA, Tovar JA: An experimental study on the pathogenesis of gastroesophageal reflux after repair of diaphragmatic hernia. J Pediatr Surg 32:1310–1313, 1997

    Google Scholar 

  8. Montedonico S, Diez-Pardo JA, Possögel A, Tovar JA: Effects of esophageal shortening on the gastroesophageal barrier: An experimental study on the causes of reflux in esophageal atresia. J Pediatr Surg 34:300–303, 1999

    Google Scholar 

  9. Fyke FE, Code CF, Schlegel JF: The gastroesophageal sphincter in healthy human beings. Gastroente rologia (Base l) 86:135–150, 1956

    Google Scholar 

  10. Pope CE: A dynamic test of sphincter strength: its application to the LES. Gastroenterology 52:779–786, 1967

    Google Scholar 

  11. Winans CS, Harris LD: Quantitation of lower esophageal sphincter competence. Gastroenterology 52:773–778, 1967

    Google Scholar 

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

    Google Scholar 

  13. Winans CS: Manometric asymmetry of the lower esophageal high pressure zone. Gastroenterology 62:830, 1972

    Google Scholar 

  14. Winans CS: Manometric asymmetry of the lower esophageal high-pressure zone. Am J Dig Dis 22:348–354, 1977

    Google Scholar 

  15. Liebermann-Meffert D, Allgöwer M, Schmid P, Blum AL: Muscular equivalent of the lower esophageal sphincter. Gastroenterology 76:31–38, 1979

    Google Scholar 

  16. Bombeck CT, Vaz O, DeSalvo J, Donahue PE, Nyhus LM: Computerized axial manometry of the esophagus. Ann Surg 206:465–472, 1987

    Google Scholar 

  17. Stein HJ, DeMeester TR, Naspetti R, Jamieson J, Perry RE: Three-dimensional imaging of the lower esophageal sphincter in gastroesophageal reflux disease. Ann Surg 214:374–384, 1991

    Google Scholar 

  18. 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 88:723–730, 1985

    Google Scholar 

  19. Mittal RK: Infusion manometry and detection of sphincteric function of crural diaphragm. Dig Dis Sci 36(suppl):6–13, 1991

    Google Scholar 

  20. Klein WA, Parkman HP, Dempsey DT, Fisher RS: Sphincterlike thoracoabdominal high pressure zone after esophagogastrectomy. Gastroenterology 105:1362–1369, 1993

    Google Scholar 

  21. 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

    Google Scholar 

Download references

Authors

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Montedonico, S., Godoy, J., Mate, A. et al. Muscular Architecture and Manometric Image of Gastroesophageal Barrier in the Rat. Dig Dis Sci 44, 2449–2455 (1999). https://doi.org/10.1023/A:1026678820384

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1026678820384

  • GASTROESOPHAGEAL BARRIER
  • MANOMETRY
  • ANATOMY
  • EXPERIMENTAL MODEL