The reproducibility of the station pullthrough technique for measuring lower oesophageal sphincter pressure

Hay, D. J.; Goodall, R. J. R.; Temple, J. G.

doi:10.1002/bjs.1800660206

Cited by 19 publications

(4 citation statements)

References 6 publications

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“…Although reservations about the reproducibility of this technique have been voiced (Perez-Avila and Irvin, 1975), we have recently confirmed that the reproducibility of the SPT is satisfactory (Hay et al, 1979). The SPT does, however, require cumbersome plumbing and the interpretation of the resultant recordings is frequently difficult because of the superimposition of respiratory and swallow waves.…”

supporting

confidence: 57%

“…We have shown that the SPT technique, if performed with care and attention to detail, can give results which are reproducible both from hour to hour and day to day (Hay et al 1979). …”

Section: Discussionmentioning

confidence: 83%

“…The total duration of th_ test was thus about 10 minutes. To avoid discomfort resulting from the repeated manipulation of the catheter, a 25 cm oropharyngeal tube, through which the oesophageal probe passed, was placed into the proximal oesophagus.In the second part of the study, where the SPT technique was also used, this was performed in the standard manner recently described (Hay et al, 1979) using a triple lumen polyvinyl catheter. Although only one withdrawal of the catheter was necessary 169…”

mentioning

confidence: 99%

“…In the second part of the study, where the SPT technique was also used, this was performed in the standard manner recently described (Hay et al, 1979) using a triple lumen polyvinyl catheter. Although only one withdrawal of the catheter was necessary 169…”

mentioning

confidence: 99%

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Assessment of the rapid pullthrough technique in oesophageal manometry.

Goodall¹,

Hay²,

Temple³

1980

Gut

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LancashireSUMMARY The lower oesophageal sphincter pressure was measured by infusion manometry using the rapid pullthrough technique in two studies designed to evaluate this technique. The first study performed was an assessment of its reproducibility in individual subjects on (Dodds et al., 1975).The aims of this study were to assess the reproducibility of the RPT and to determine whether the values for lower oesophageal sphincter pressure measured by RPT were comparable with those obtained by SPT.Methods EQUIPMENT (Fig. 1) The RPT was performed using a 6 FG ureteric catheter, 70 cm long and 2 mm in external diameter,

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supporting

confidence: 57%

“…We have shown that the SPT technique, if performed with care and attention to detail, can give results which are reproducible both from hour to hour and day to day (Hay et al 1979). …”

Section: Discussionmentioning

confidence: 83%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Assessment of the rapid pullthrough technique in oesophageal manometry.

Goodall¹,

Hay²,

Temple³

1980

Gut

Self Cite

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Techniques in Electromanometry of the Upper Esophageal Sphincter

Bretan

Henry²,

Cury³

1990

Archives of Otolaryngology - Head and Neck Surgery

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The various pull-through techniques used to measure pressure and length of the upper esophageal sphincter have not been studied in depth. Because of the importance of obtaining further information about these techniques, a group of 25 dogs was submitted to upper esophageal sphincter pressure and length measurements by three different pull-through techniques (two of the continuous type and one of the station type), each with three replications per animal, to determine possible differences among techniques. A single introduction provided reliable results, with no sequential effect of the measurements or of any one technique on resting pressure. However, each technique yielded different sphincter lengths, higher values being obtained when the continuous techniques were used.

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Oesophageal reflex responses: Abnormalities of the enteric nervous system in patients with oesophageal symptoms

O'Hanrahan

Bancewicz

Thompson

et al. 1992

Journal of British Surgery

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An intraluminal balloon was used to study the peristaltic reflex, which is mediated by the intrinsic nerves of the oesophagus. Serial balloon distension was performed in nine asymptomatic volunteers and 133 patients with oesophageal symptoms. Eight of the volunteers had a normal response with proximal stimulation and distal inhibition of motility. Only 42 patients (31.6 per cent) had a normal response. The commonest abnormal response (39.1 per cent) was some form of failure of the distal inhibitory reflex. Other patterns of abnormality were an unresponsive oesophagus (15.8 per cent) with no motility change during balloon inflation, or spasm (13.5 per cent) proximal to the balloon. These alterations of secondary peristaltic activity suggest that there are abnormalities of the intrinsic (enteric) nerves of the oesophagus. Different abnormalities were found in patients with similar symptoms. Awareness of this difference might allow a more rational approach to treatment. This hypothesis was tested in a small pilot study treating functional dysphagia with cisapride. Three of nine patients had marked symptomatic improvement within 4 weeks and all three had an unresponsive oesophagus. The remaining six patients, who had failure of distal inhibition or a normal response, did not improve.

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The reproducibility of the station pullthrough technique for measuring lower oesophageal sphincter pressure

Cited by 19 publications

References 6 publications

Assessment of the rapid pullthrough technique in oesophageal manometry.

Assessment of the rapid pullthrough technique in oesophageal manometry.

Techniques in Electromanometry of the Upper Esophageal Sphincter

Oesophageal reflex responses: Abnormalities of the enteric nervous system in patients with oesophageal symptoms

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