Skip to main content

Manometry of the UES Including High-Resolution Manometry

  • Chapter
  • First Online:
Book cover Manual of Diagnostic and Therapeutic Techniques for Disorders of Deglutition

Abstract

Manometry of the upper esophageal sphincter and pharynx is used for the measure of the contractile activity of these structures at rest, during deglutition, and in response to various stimuli. The anatomic asymmetry, movement, and fast responses of these structures challenge the performance characteristics of most manometric systems. The advent of solid-state high-resolution manometry addresses the limitations of earlier systems. However, currently available commercial systems continue to have limitations in performance, cost, and durability. The field is further limited by the lack of consensus in the field regarding specific definitions for manometric phenomena, as well as the absence of universally applicable and available normative data sets.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 139.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Kahrilas PJ, Dodds WJ, Dent J, Logemann JA, Shaker R. Upper esophageal sphincter function during deglutition. Gastroenterology. 1988;95(1):52–62.

    PubMed  CAS  Google Scholar 

  2. Ertekin C, Aydogdu I. Electromyography of human cricopharyngeal muscle of the upper esophageal sphincter. Muscle Nerve. 2002;26:729–39.

    Article  PubMed  Google Scholar 

  3. Dodds WJ, Hogan WJ, Lydon SB, Stewart ET, Stef JJ, Arndorfer RC. Quantitation of pharyngeal motor function in normal human subjects. J Appl Physiol. 1975; 39(4):692–6.

    PubMed  CAS  Google Scholar 

  4. Orlowski J, Dodds WJ, Linehan JH, Dent J, Hogan WJ, Arndorfer RC. Requirements for accurate manometric recording of pharyngeal and esophageal peristaltic pressure waves. Invest Radiol. 1982;17(6):567–72.

    Article  PubMed  CAS  Google Scholar 

  5. Cook IJ, Dent J, Collins SM. Upper esophageal sphincter tone and reactivity to stress in patients with a history of globus sensation. Dig Dis Sci. 1989;34(5):672–6.

    Article  PubMed  CAS  Google Scholar 

  6. Omari T, Snel A, Barnett C, Davidson G, Haslam R, Dent J. Measurement of upper esophageal sphincter tone and relaxation during swallowing in premature infants. Am J Physiol. 1999;277(4 Pt 1):G862–6.

    PubMed  CAS  Google Scholar 

  7. Cook IJ, Dent J, Shannon S, Collins SM. Measurement of upper esophageal sphincter pressure. Effect of acute emotional stress. Gastroenterology. 1987;93(3):526–32.

    PubMed  CAS  Google Scholar 

  8. Lydon SB, Dodds WJ, Hogan WJ, Arndorfer RC. The effect of manometric assembly diameter on intraluminal esophageal pressure recording. Am J Dig Dis. 1975; 20(10):968–70.

    Article  PubMed  CAS  Google Scholar 

  9. Cook IJ, Dodds WJ, Dantas RO, et al. Opening mechanisms of the human upper esophageal sphincter. Am J Physiol. 1989;257(5 Pt 1):G748–59.

    PubMed  CAS  Google Scholar 

  10. Medda BK, Lang IM, Dodds WJ, et al. Correlation of electrical and contractile activities of the cricopharyngeus muscle in the cat. Am J Physiol. 1997;273(2 Pt 1) :G470–9.

    PubMed  CAS  Google Scholar 

  11. de Leon A, Thörn SE, Wattwil M. High-resolution solid-state manometry of the upper and lower esophageal sphincters during anesthesia induction: a comparison between obese and non-obese patients. Anesth Analg. 2010;111(1):149–53.

    PubMed  Google Scholar 

  12. Dire C, Shi G, Manka M, Kahrilas PJ. Manometric characteristics of the upper esophageal sphincter recorded with a microsleeve. Am J Gastroenterol. 2001; 96(5):1383–9.

    Article  PubMed  CAS  Google Scholar 

  13. Bardan E, Kern M, Torrico S, Arndorfer RC, Massey BT, Shaker R. Radial asymmetry of the upper oesophageal sphincter pressure profile: fact or artefact. Neurogastroenterol Motil. 2006;18(6):418–24.

    Article  PubMed  CAS  Google Scholar 

  14. Asoh R, Goyal RK. Manometry and electromyography of the upper esophageal sphincter in the opossum. Gastroenterology. 1978;74(3):514–20.

    PubMed  CAS  Google Scholar 

  15. Logemann JA, Kahrilas PJ, Kobara M, Vakil N. The benefit of head rotation on pharyngoesophageal dysphagia. Arch Phys Med Rehabil. 1989;70(10):767–71.

    PubMed  CAS  Google Scholar 

  16. Takasaki K, Umeki H, Kumagami H, Takahashi H. Influence of head rotation on upper esophageal sphincter pressure evaluated by high-resolution manometry system. Otolaryngol Head Neck Surg. 2010;142(2):214–7.

    Article  PubMed  Google Scholar 

  17. Brasseur JG, Dodds WJ. Interpretation of intraluminal manometric measurements in terms of swallowing mechanics. Dysphagia. 1991;6(2):100–19.

    Article  PubMed  CAS  Google Scholar 

  18. Dudnick RS, Castell JA, Castell DO. Abnormal upper esophageal sphincter function in achalasia. Am J Gastroenterol. 1992;87(12):1712–5.

    PubMed  CAS  Google Scholar 

  19. DeVault KR. Incomplete upper esophageal sphincter relaxation: association with achalasia but not other esophageal motility disorders. Dysphagia. 1997;12(3):157–60.

    Article  PubMed  CAS  Google Scholar 

  20. Yoneyama F, Miyachi M, Nimura Y. Manometric findings of the upper esophageal sphincter in esophageal achalasia. World J Surg. 1998;22(10):1043–6.

    Article  PubMed  CAS  Google Scholar 

  21. Castell JA, Castell DO, Schultz AR, Georgeson S. Effect of head position on the dynamics of the upper esophageal sphincter and pharynx. Dysphagia. 1993;8(1):1–6.

    Article  PubMed  CAS  Google Scholar 

  22. Ghosh SK, Pandolfino JE, Zhang Q, Jarosz A, Kahrilas PJ. Deglutitive upper esophageal sphincter relaxation: a study of 75 volunteer subjects using solid-state high-resolution manometry. Am J Physiol Gastrointest Liver Physiol. 2006;291(3):525–31.

    Article  Google Scholar 

  23. Shaker R, Ren J, Podvrsan B, et al. Effect of aging and bolus variables on pharyngeal and upper esophageal sphincter motor function. Am J Physiol. 1993;264(3 Pt 1): G427–32.

    PubMed  CAS  Google Scholar 

  24. van Herwaarden MA, Katz PO, Gideon RM, et al. Are manometric parameters of the upper esophageal sphincter and pharynx affected by age and gender? Dysphagia. 2003;18(3):211–7.

    Article  PubMed  Google Scholar 

  25. Kahrilas PJ, Dent J, Dodds WJ, Hogan WJ, Arndorfer RC. A method for continuous monitoring of upper esophageal sphincter pressure. Dig Dis Sci. 1987;32(2):121–8.

    Article  PubMed  CAS  Google Scholar 

  26. Knuff DA, Hogan WJ, Shaker R, Massey BT. Esophageal motor disturbances are common in patients with UES dysfunction. Dysphagia. 2006;21:314.

    Google Scholar 

  27. Dua K, Surapaneni SN, Kuribayashi S, Hafeezullah M, Shaker R. Protective role of aerodigestive reflexes against aspiration: study on subjects with impaired and preserved reflexes. Gastroenterology. 2011;140(7):1927–33.

    Article  PubMed  Google Scholar 

  28. Knuff DA, Kounev VJ, Lawal A, Hogan WJ, Shaker R, Massey BT. Abnormal UES deglutitive function is improved with water swallows compared to that seen with dry swallows. Dysphagia. 2006;21:297.

    Google Scholar 

  29. Dantas RO, Cook IJ, Dodds WJ, Kern MK, Lang IM, Brasseur JG. Biomechanics of cricopharyngeal bars. Gastroenterology. 1990;99(5):1269–74.

    PubMed  CAS  Google Scholar 

  30. Cook IJ, Gabb M, Panagopoulos V, et al. Pharyngeal (Zenker’s) diverticulum is a disorder of upper esophageal sphincter opening. Gastroenterology. 1992;103(4): 1229–35.

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Benson T. Massey MD, FACP .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Springer Science+Business Media New York

About this chapter

Cite this chapter

Massey, B.T. (2013). Manometry of the UES Including High-Resolution Manometry. In: Shaker, R., Easterling, C., Belafsky, P., Postma, G. (eds) Manual of Diagnostic and Therapeutic Techniques for Disorders of Deglutition. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-3779-6_8

Download citation

  • DOI: https://doi.org/10.1007/978-1-4614-3779-6_8

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-3778-9

  • Online ISBN: 978-1-4614-3779-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics