Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
2004-10-25
pubmed:abstractText
Knowledge of the competence of the oesophago-gastric junction (OGJ) is fundamental to the understanding of gastro-oesophageal reflux disease (GORD), a disorder with a high incidence among the general population. A catheter with a bag 9.5 cms long mounted towards the distal end was swallowed by three volunteers. Using manometry readings and the point of respiratory inversion as a guide the probe was placed in the OGJ. The bag was distended with saline at a fixed rate volume before and after the administration of butylscopolamine to block cholinergic-mediated contractile smooth muscle activity. Using impedance planimetry three cross-sectional areas (CSA) measurements were made between three pairs of electrodes with 4 mm between each electrode on the catheter placed inside the ballon. Using the law of Laplace, CSA and pressure data could be calculated to give wall tension. Tension rose in all volunteers as the radius increased and it was higher towards the proximal end of the OGJ indicating that this measurement can be used to show the distensibility of the OGJ at different degrees of opening. This technique could be useful in identifying changes in the competence of the lower oesophageal sphincter in some patients with GORD.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Oct
pubmed:issn
1350-1925
pubmed:author
pubmed:issnType
Print
pubmed:volume
16
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
543-6
pubmed:dateRevised
2008-9-8
pubmed:meshHeading
pubmed:year
2004
pubmed:articleTitle
A new measurement of oesophago-gastric junction competence.
pubmed:affiliation
Department of Gastroenterology, Centre for Visceral Biomechanics and Pain, Aalborg Hospital, Aalborg, Denmark. barry@mech-sense.com
pubmed:publicationType
Journal Article