Surgery
Volume 147, Issue 1 , Pages 57-64 , January 2010

Unique features of esophagogastric junction pressure topography in hiatus hernia patients with dysphagia

,Accepted 1 May 2009.

References 

  1. Mittal RK, Balaban DH. The esophagogastric junction. N Engl J Med. 1997;336:924–932
  2. Kahrilas PJ. The role of hiatus hernia in GERD. Yale J Biol Med. 1999;72:101–111
  3. Pandolfino JE, Shi G, Trueworthy B, Kahrilas PJ. Esophagogastric junction opening during relaxation distinguishes nonhernia reflux patients, hernia patients, and normal subjects. Gastroenterology. 2003;125:1018–1024
  4. Kaul BK, DeMeester TR, Oka M, Ball CS, Stein HJ, Kim CB, et al. The cause of dysphagia in uncomplicated sliding hiatal hernia and its relief by hiatal herniorrhaphy. A roentgenographic, manometric, and clinical study. Ann Surg. 1990;211:406–410
  5. Lin S, Brasseur JG, Pouderoux P, Kahrilas PJ. The phrenic ampulla: distal esophagus or potential hiatal hernia?. Am J Physiol. 1995;268:G320–G327
  6. Kahrilas PJ, Wu S, Lin S, Pouderoux P. Attenuation of esophageal shortening during peristalsis with hiatus hernia. Gastroenterology. 1995;109:1818–1825
  7. Kahrilas PJ, Kim HC, Pandolfino JE. Approaches to the diagnosis and grading of hiatal hernia. Best Pract Res Clin Gastroenterol. 2008;22:601–616
  8. Pandolfino JE, El-Serag HB, Zhang Q, Shah N, Ghosh SK, Kahrilas PJ. Obesity: a challenge to esophagogastric junction integrity. Gastroenterology. 2006;130:639–649
  9. Pandolfino JE, Ghosh SK, Rice J, Clarke JO, Kwiatek MA, Kahrilas PJ. Classifying esophageal motility by pressure topography characteristics: a study of 400 patients and 75 controls. Am J Gastroenterol. 2008;103:27–37
  10. Ghosh SK, Pandolfino JE, Rice J, Clarke JO, Kwiatek M, Kahrilas PJ. Impaired deglutitive EGJ relaxation in clinical esophageal manometry: a quantitative analysis of 400 patients and 75 controls. Am J Physiol Gastrointest Liver Physiol. 2007;293:G878–G885
  11. Ghosh SK, Kahrilas PJ, Lodhia N, Pandolfino JE. Utilizing intraluminal pressure differences to predict esophageal bolus flow dynamics. Am J Physiol Gastrointest Liver Physiol. 2007;293:G1023–G1028
  12. Pandolfino JE, Ghosh SK, Lodhia N, Kahrilas PJ. Utilizing intraluminal pressure gradients to predict esophageal clearance: a validation study. Am J Gastroenterol. 2008;103:1898–1905

 Supported in part by research grants from the from the Public Health Service (R01 DC00646 to P.J.K., J.E.P.).

PII: S0039-6060(09)00327-4

doi: 10.1016/j.surg.2009.05.011

Surgery
Volume 147, Issue 1 , Pages 57-64 , January 2010

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