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By C G Bremner
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RV\6: : '. Respiratipn : Copyrighted Material . . . ~ . ' . 128 Esophageal Motility Testing Made Easy Slow Motorized Pull- Through-cont'd Fig. 2-11 Asymmetry is demonstrated in this slow motorized pull-through recording of the LES. All four channels (3 to 6) are recorded at the same level. In channels 3, 5, and 6 the hiatal component of the LES is accentuated. Fig. 2-12 Regression analysis of slow motorized pull-through (SMPT) and stationary pull-through (SPT) methods. 4 See references 3 and 4.
2-23 Cardiac impression in channel 2 between area marked 57 to 61 em (which is 37 to 41 em from the nares). Copyrighted Material . 1 Fig. ~ . ... , .. .. . .... :r--~--:",-"",-::""~ ............ ~:-... --:-:~ -_ ", ; Fig. 2-23 . .. J~S:'~A~, ' : :-:-:::-:':"~:::'::"-:-':":>:r-:-:'-::::::'~:'::':':"'::--:'::>'c'::~:-::'':::--'::':':-:-:::'-:::'':''~'::'':'::'::-''~':-':--~'-'"""_:"""'::"":'C:"-e':-:-:->"~' 1,~c~~~~~MWV~'y~rl~'~lt~'N}fr)VY~~)'~hl~{~~~~A~WVI Copyrighted Material 4Q , . Esophag~al Motility Testing Mad~: Easy '.
Tinitial in the distal channels occurs before Tinitial in the more proximal channels. Stepwise Approach to Manometric Assessment 1. Establish the correct baseline of atmospheric pressure for all channels. 2. Determine which channels have a characteristic pharyngeal pressure wave and which channels have a UES trace. 3. Draw a vertical line (T) at the onset of the pharyngeal events. 4. Draw a vertical line depicting the peak of the bolus pressure. 5. Determine the amplitude of the bolus pressure.