Abstract
The esophagus is a complex muscular tube; its main function is to transport a bolus from the pharynx to the stomach. This can be initiated by deglutition, termed primary peristalsis, or by local distension, such as during gastroesophageal reflux, termed secondary peristalsis. In this chapter, we review the normal physiology of esophageal primary and secondary peristalsis as well as disorders of peristalsis. Developed in the 1990s, high-resolution esophageal manometry (HRM) advanced motility testing by creating intuitive spatial and temporal representations of esophageal function. We will review the diagnostic and treatment approach of disorders of peristalsis by HRM as well as discuss other adjunctive esophageal testing, including the barium esophagram and the functional luminal imaging probe.
Original language | English (US) |
---|---|
Title of host publication | Dysphagia |
Subtitle of host publication | A Clinical Guide |
Publisher | Elsevier |
Pages | 75-102 |
Number of pages | 28 |
ISBN (Electronic) | 9780443190636 |
ISBN (Print) | 9780443190643 |
DOIs | |
State | Published - Jan 1 2024 |
Keywords
- absent contractility
- barium esophagram
- distal esophageal spasm
- dysphagia
- FLIP
- Functional lumen imaging probe
- high-resolution esophageal manometry
- hypercontractile esophagus
- ineffective esophageal motility
- primary peristalsis
- secondary peristalsis
ASJC Scopus subject areas
- General Agricultural and Biological Sciences
- General Biochemistry, Genetics and Molecular Biology