Evaluation of the upper esophageal sphincter (UES) using simultaneous high-resolution endoluminal sonography (HRES) and manometry.
Evaluation of the upper esophageal sphincter (UES) using simultaneous high-resolution endoluminal sonography (HRES) and manometry.
复制标题
使用同步高分辨率腔内超声检查 (HRES) 和测压法评估上食管括约肌 (UES)。
DOI：
10.1023/b:ddas.0000030077.15625.69
复制
发表时间：
2004
影响因子：
3.1
通讯作者：
Soliman,AhmedM
中科院分区：
文献类型：
--
作者：
Miller,LarryS;Dai,Qing;Sweitzer,BrettA;Thangada,Vinod;Kim,JosephK;Thomas,Beje;Parkman,Henry;Soliman,AhmedM
本研究的目的是描述食管上括约肌（UES）的运动、形态和压力。在7名正常受试者和4具人类尸体中，使用同步高分辨率腔内超声和测压法对UES及其周围结构进行了评价。超声上的UES肌肉组织为C形结构，角度为107 ± 19°。平均峰值静息UES压力为74 mm Hg，总横截面积（CSA）为0.87 ± 0.33 cm 2。在吞咽过程中，UES向左移动。超声定位UES，尸体中的峰值UES压力为19.7 ± 10.0 mm Hg。UES具有比食管上段更大的肌肉CSA和静息压。在尸体研究中，UES与压力显著增加一起成像，表明压力是由于被动机械构象变化引起的。
The aim of this study was to characterize the motion, morphology, and pressure of the upper esophageal sphincter (UES). The UES and its surrounding structures were evaluated in seven normal subjects and four human cadavers, using simultaneous high-resolution endoluminal sonography and manometry. The UES musculature on ultrasound is a C-shaped structure with an angle of 107 ± 19°. The mean peak resting UES pressure was 74 mm Hg, with a total cross-sectional area (CSA) of 0.87 ± 0.33 cm2. During swallowing, the UES moved in an orad direction. Localizing the UES sonographically, the peak UES pressure in the cadavers was 19.7 ± 10.0 mm Hg. The UES has a greater muscular CSA and resting pressure than the upper esophageal body. In the cadaver studies, the UES was imaged in conjunction with a significant increase in pressure, indicating that the pressure is due to passive mechanical conformational changes.