The transit of food the bolus through the esophageal body depends on the properties of the bolus as well as the positions of the thorax when the swallow occurs. If the food is fluid-like and a person stands upright, it only takes 2-3 s for the food to approach the lower esophageal sphincter (LES). In this case, the bolus moves mainly under the influence of gravity. When either or both the content of bolus and the position of the thorax reduce the effects of gravity, the peristaltic mechanism plays the most important role for the bolus transport. The muscle contraction is first inhibited to allow the bolus to distend and fill the esophageal lumen. This inhibition is followed by the active muscle contractions near the bolus tail to maintain the lumen closure and propel the bolus towards the stomach. The contraction wave travels at a speed of 1-4 cm/s and duration of 5-10 s is required for the bolus to reach the LES, when the muscle at LES stats to relax and LES opens. The LES remains open for 5-10 s during which the food content is emptied from the esophagus to the stomach. Thus, food transport is an interactive process between the esophageal tissue, food bolus and muscle activity.It is well known that the stress distribution within the esophageal wall is important to understand the mechanics-function relationship of the esophagus. The stress distribution under the physiological state has been widely investigated in the literature [1,2] . However, the effect of food bolus on tissue structure has usually been represented by a luminal pressure imposed on the internal surface of the esophageal tube while the bolus and the interaction between the tissue and bolus have been ignored. On the other hand, in the study conducted by Li et al [3] , a mathematical model was established to simulate the fluid (food bolus) flow within the esophageal lumen. By applying the lubrication theory [4] , the intraluminal
AbstractThe peristaltic transport of swallowed material in the esophagus is a neuro-muscular function involving the nerve control, bolus-structure interaction, and structuremechanics relationship of the tissue. In this study, a finite element model (FEM) was developed to simulate food transport through the esophagus. The FEM consists of three components, i.e., tissue, food bolus and peristaltic wave, as well as the interactions between them. The transport process was simulated as three stages, i.e., the filling of fluid, contraction of circular muscle and traveling of peristaltic wave. It was found that the maximal passive intraluminal pressure due to bolus expansion was in the range of 0.8-10 kPa and it increased with bolus volume and fluid viscosity. It was found that the highest normal and shear stresses were at the inner surface of muscle layer. In addition, the peak pressure required for the fluid flow was predicted to be 1-15 kPa at the bolus tail. The diseases of systemic sclerosis or osteogenesis imperfecta, with the remodeled microstructures and mechanical properties, might induce the malfunction of esophageal ...