Measurement of manometric pressures in the upper gastrointestinal tract has been done for
the past 40 years. Although extensive amounts of data have been compiled for the lower
esophageal sphincter and the esophageal body, technical problems have limited the
usefulness of measurements of the upper esophageal sphincter and the pharynx. Newer
equipment and methods may solve these technical problems, but more normative data and more
widespread use of these technologies must be obtained before manometry is clinically
useful in the diagnosis of pharyngeal dysphagia.
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References
1.
DavenportHWGastrointestinal physiology, 1895–1975: motility. In:
WoodJD, ed. Handbook of physiology. Vol.
1. Bethesda, Md.: American
Physiological Society, 1989:
1–101.
2.
CannonWBMoserA.The movements of the food in the oesophagus. Am J
Physiol1898; 1:
435–44.
3.
KillianG.The mouth of the esophagus. Laryngoscope1907;17:421–8.
4.
FykeFEJr.Code CF. Resting and deglutition pressures in the pharyngoesophageal
region. Gastroenterology1955; 29:
24–34.
5.
WileyJWNostrantTTOwyangC.Evaluation of gastrointestinal motility: methodologic
considerations. In: YamadaT, ed. Textbook of gastroenterology. 1st
ed.Philadelphia: J.B. Lippincott
Co., 1991:
2538–58.
6.
GoyalRKPatersonWGEsophageal motility. In: Handbook of
physiology. Vol. 1. Bethesda,
Md.: American Physiological Society,
1989: 865–908.
7.
GoyalRKSangreeMHHershT.Pressure inversion point at the upper high pressure zone and its
genesis. Gastroenterology1970;59:754–9.
8.
GatesGAUpper esophageal sphincter: pre- and post-laryngectomy—a normative
study. Laryngoscope1980;90:454–64.
9.
HollisJBCastellDOEsophageal function in elderly man: a new look at
presbyesophagus. Ann Intern Med1974;80:371–6.
10.
CookIJDentJShannonSCollinsSMMeasurement of upper esophageal sphincter pressure: effect of acute
emotional stress. Gastroenterology1987;93:526–32.
11.
IsbergANilssonMESchiratzkiH.The upper esophageal sphincter during normal deglutition.
Acta Radiol Diagn1985;26:563–8.
12.
CookIJDoddsWJDantasRO,Opening mechanisms of the human upper
esophageal sphincter. Am J Physiol1989;257:G748–59.
13.
AsohRGoyalRKManometry and electromyography of the upper esophageal sphincter in the
opossum. Gastroenterology1978;74:514–20.
14.
GreenWECastellJACastellDOUpper esophageal sphincter pressure recording. Is
an oval manometry catheter necessary? Dysphagia1988;2:162–5.
15.
MandelsohnMSMcConnelFMSFunction in the pharyngeosophageal segment.
Laryngoscope1987;97:483–9.
16.
McConnelFMSCerenkoDHershTWeilLJEvaluation of pharyngeal dysfunction with manofluorography.
Dysphagia1988;2:187–95.
