| Effect of lower esophageal sphincter tone and crural diaphragm contraction on distensibility of the gastroesophageal junction in humans. | |
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MedLine Citation:
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PMID: 15361362 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Previous studies of distensibility of the gastroesophageal junction (GEJ) in humans have not tried to distinguish between the effects of muscle action and passive elastic tissue properties of the GEJ. We studied 15 healthy subjects (ages 23-67 yr, 11 men/4 women) by using a catheter with a highly complaint bag positioned manometrically at the GEJ. The bag was distended with air at a rate of 20 ml/min while intrabag pressure was recorded. Distensions were performed during normal breathing, with breath held at maximum inspiration (MI) to activate the diaphragmatic crura, and with midesophageal balloon distension (BD) to relax the lower esophageal sphincter. In 10 subjects, distensions were performed after atropine injection (12 microg/kg iv). Pressure-volume curves and incremental distensibility values were calculated and compared among the different conditions. Both MI and BD significantly altered the slopes of the pressure-volume curves, whereas no effect was seen with atropine. Maximum distensibility was seen at the volume increment of 5-10 ml and was reduced with larger volumes. Distensibility measurements for the various test conditions tended to converge at the largest volume increment, suggesting that distensibility at this degree of distension was more related to the passive elastic properties of the GEJ. On the basis of these findings, we conclude that there can be significant active muscular contributions to recordings of distensibility at the GEJ, variations that must be controlled for during different study conditions. |
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Authors:
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Reza Shaker; Eytan Bardan; Chengming Gu; Benson T Massey; Thomas Sanders; Mark K Kern; Raymond G Hoffmann; Walter J Hogan |
Publication Detail:
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Type: Clinical Trial; Journal Article |
Journal Detail:
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Title: American journal of physiology. Gastrointestinal and liver physiology Volume: 287 ISSN: 0193-1857 ISO Abbreviation: Am. J. Physiol. Gastrointest. Liver Physiol. Publication Date: 2004 Oct |
Date Detail:
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Created Date: 2004-09-13 Completed Date: 2004-11-06 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 100901227 Medline TA: Am J Physiol Gastrointest Liver Physiol Country: United States |
Other Details:
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Languages: eng Pagination: G815-21 Citation Subset: IM |
Affiliation:
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Medical College of Wisconsin Dysphagia Institute, Division of Gastroenterology and Hepatology, Medical College of Wisconsin, Milwaukee, Wisconsin 53226, USA. rshaker@mcw.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Atropine / administration & dosage Balloon Dilatation Diaphragm / physiology* Esophagogastric Junction / physiology* Female Fluoroscopy Humans Inhalation Male Manometry Middle Aged Muscle Contraction / drug effects, physiology* Muscle Relaxation / physiology Parasympatholytics / administration & dosage Pressure |
| Chemical | |
Reg. No./Substance:
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0/Parasympatholytics; 51-55-8/Atropine |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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