“…Intra-abdominal pressure-raising devices are often used in the diagnosis of gastro-oesophageal reflux at manometry (11, 24) or radiologic examination (14,17,20,22,23,27). The intra-abdominal pressure can be raised by, for example, the Valsalva manoeuvre, application of the Trendelenburg position, straight-leg raising in the supine position, lying prone over a compression pad, turning from side to side, and application of pressure to the abdomen with the hand or an abdominal compression bandage.…”