Esophageal peristalsis

Andree H. Koop, Dustin A. Carlson

Research output: Chapter in Book/Report/Conference proceedingChapter

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 languageEnglish (US)
Title of host publicationDysphagia
Subtitle of host publicationA Clinical Guide
PublisherElsevier
Pages75-102
Number of pages28
ISBN (Electronic)9780443190636
ISBN (Print)9780443190643
DOIs
StatePublished - 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

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