Center. The focus of her PhD is frozen embryo transfer, the freeze-all strategy, and the obstetrical and neonatal outcomes after different types of endometrial preparation in frozen embryo transfers.
Inconsistency and heterogeneity exist in definitions and outcome measures used in RCTs on pediatric GER and GERD; therefore, we recommend the development of a core outcome set.
Background
Abdominal compression has been implemented as a provocative maneuver in high‐resolution impedance manometry (HRIM) to “challenge” normal esophageal physiology with the aim of revealing abnormal motor patterns which may explain symptoms. In this study, we measured the effects of abdominal compression on esophageal functioning utilizing novel pressure‐impedance parameters and attempted to identify differences between healthy controls and globus patients.
Methods
Twenty‐two healthy volunteers (aged 23‐32 years, 41% female) and 22 globus patients (aged 23‐72 years, 68% female) were evaluated with HRIM using a 3.2‐mm water perfused manometric and impedance catheter. All participants received 10 × 5 mL liquid swallows; healthy controls also received 10 × 5 mL liquid swallows with abdominal compression created using an inflatable cuff. All swallows were analyzed to assess esophageal pressure topography (EPT) and pressure‐flow metrics, indicative of distension pressure, flow timing and bolus clearance were derived.
Key Results
The effect of abdominal compression was shown as a greater contractile vigor of the distal esophagus by EPT and higher distension pressure based on pressure‐flow metrics. Age and body mass index also increased contractile vigor and distension pressure. Globus patients were similar to controls.
Conclusions and Interferences
Intrabolus pressure and contractile vigor are indicative of the physiological modulation of bolus transport mechanisms. Provocative testing by abdominal compression induces changes in these esophageal bolus dynamics.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.