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Normal esophageal pressure topography metrics for data derived from the Sandhill‐Unisensor high‐resolution manometry assembly in supine and sitting positions
Background Normal values of the esophageal motor function parameters for high‐resolution manometry (HRM‐EPT) adopted by the Chicago classification were established using the proprietary system of Given Imaging. It is conceivable that normal values of a system do not apply to data from others. Most s...
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| Published in: | Neurogastroenterology and motility 2015-02, Vol.27 (2), p.285-292 |
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| creator | Carmo, G. C. Jafari, J. Sifrim, D. Oliveira, R. B. |
| description | Background
Normal values of the esophageal motor function parameters for high‐resolution manometry (HRM‐EPT) adopted by the Chicago classification were established using the proprietary system of Given Imaging. It is conceivable that normal values of a system do not apply to data from others. Most studies using HRM were based on supine swallows, whereas deglutition occurs mostly in the upright position. We wished to establish normal values for HRM‐EPT parameters obtained with the Sandhill's HRM‐EPT system and compare the results in supine and sitting positions.
Methods
Sixty‐nine healthy volunteers, 38 females, median age 27 years, were included in this study. All underwent supine HRM, and 34 of them underwent sitting HRM, with at least 10 single 5‐mL swallows for analysis obtained in each position.
Key Results
The normal range (5–95th percentiles) for the following parameters was calculated: distal contractile integral (DCI), 606–4998 mmHg·s·cm; contractile front velocity (CFV), 2.0–6.5 cm/s; distal latency (DL), 5.1–8.8 s; intrabolus pressure (IBP), 1.9–17.6 mmHg; upper esophageal sphincter (UES) pressure, 45.2–186.9 mmHg; esophagogastric junction (EGJ) length, 1.8–4 cm; EGJ resting pressure, 8.1–61.6 mmHg, and integrated relaxation pressure (IRP) 2.5–23.5 mmHg. Normal values of EGJ resting pressure, IRP, DCI, and IBP but not CFV, DL, and UES resting pressure were significantly lower in the sitting posture.
Conclusions & Inferences
Studies performed with Sandhill's HRM‐EPT system should use its own specific normal data. Normal values should be established for different study
We established normal values for HRM parameters from Western healthy volunteers (Brazilian and British) using the Sandhill‐Unisensor HRM system. Upper normal limits for IRP and LES resting pressure are higher than those used in the Chicago classification. As data on HRM in supine and sitting positions are scanty, we acquired HRM data in both conditions, and confirmed that the normal values of EGJ resting pressure, IRP, DCI, and IBP are significantly lower in the sitting than in the supine position. |
| doi_str_mv | 10.1111/nmo.12501 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1652417596</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3568406931</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4891-1e2158fa3b8defad736e8cdbfec28a439225b5f9047cf4b28c7a6ba5b179f43</originalsourceid><addsrcrecordid>eNp1kUtu1TAUhq2qiJaWQTeALHUCg7SxY-cxrCoKSKUdlI4jJzm-ceVH6pOAMusS2AJbYyX4cgsDJDw5v44-f7L8E3LC8jOWzrl34YxxmbM9csiKUma8qfn-Nss8Yw2XB-QV4kOe5yUX5UtywKWUleTykPy4CdEpSwHDNKoNpDhFQFwi0DlMYRPVNK7UwRxNj1SHSAc1KzpANF9hoDoGR-cR6J3yw2is_fn0_d4bBI8JHc1mTIskDHaZTfDUKR-2spUqRHCdXanxFJfJeKBJQdHMs_EbOoWU0g08Ji-0sgivn-cRubt6_-XyY3Z9--HT5cV11ou6YRkDzmStVdHVA2g1VEUJdT90GnpeK1E0nMtO6iYXVa9Fx-u-UmWnZMeqRoviiLzdWacYHhfAuXUGe7BWeQgLtqyUXLBKNmVCT_9BH8ISfXpbokSdPrkSW-rdjupjQIyg2ykap-Lasrzdttam1trfrSX2zbNx6RwMf8k_NSXgfAd8MxbW_5vam8-3O-UvPU-oHg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1648006746</pqid></control><display><type>article</type><title>Normal esophageal pressure topography metrics for data derived from the Sandhill‐Unisensor high‐resolution manometry assembly in supine and sitting positions</title><source>Wiley</source><creator>Carmo, G. C. ; Jafari, J. ; Sifrim, D. ; Oliveira, R. B.</creator><creatorcontrib>Carmo, G. C. ; Jafari, J. ; Sifrim, D. ; Oliveira, R. B.</creatorcontrib><description>Background
Normal values of the esophageal motor function parameters for high‐resolution manometry (HRM‐EPT) adopted by the Chicago classification were established using the proprietary system of Given Imaging. It is conceivable that normal values of a system do not apply to data from others. Most studies using HRM were based on supine swallows, whereas deglutition occurs mostly in the upright position. We wished to establish normal values for HRM‐EPT parameters obtained with the Sandhill's HRM‐EPT system and compare the results in supine and sitting positions.
Methods
Sixty‐nine healthy volunteers, 38 females, median age 27 years, were included in this study. All underwent supine HRM, and 34 of them underwent sitting HRM, with at least 10 single 5‐mL swallows for analysis obtained in each position.
Key Results
The normal range (5–95th percentiles) for the following parameters was calculated: distal contractile integral (DCI), 606–4998 mmHg·s·cm; contractile front velocity (CFV), 2.0–6.5 cm/s; distal latency (DL), 5.1–8.8 s; intrabolus pressure (IBP), 1.9–17.6 mmHg; upper esophageal sphincter (UES) pressure, 45.2–186.9 mmHg; esophagogastric junction (EGJ) length, 1.8–4 cm; EGJ resting pressure, 8.1–61.6 mmHg, and integrated relaxation pressure (IRP) 2.5–23.5 mmHg. Normal values of EGJ resting pressure, IRP, DCI, and IBP but not CFV, DL, and UES resting pressure were significantly lower in the sitting posture.
Conclusions & Inferences
Studies performed with Sandhill's HRM‐EPT system should use its own specific normal data. Normal values should be established for different study
We established normal values for HRM parameters from Western healthy volunteers (Brazilian and British) using the Sandhill‐Unisensor HRM system. Upper normal limits for IRP and LES resting pressure are higher than those used in the Chicago classification. As data on HRM in supine and sitting positions are scanty, we acquired HRM data in both conditions, and confirmed that the normal values of EGJ resting pressure, IRP, DCI, and IBP are significantly lower in the sitting than in the supine position.</description><identifier>ISSN: 1350-1925</identifier><identifier>EISSN: 1365-2982</identifier><identifier>DOI: 10.1111/nmo.12501</identifier><identifier>PMID: 25557525</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Adult ; Aged ; Deglutition ; esophagus ; Esophagus - physiology ; Female ; high‐resolution manometry ; Humans ; Image Interpretation, Computer-Assisted - methods ; Male ; Manometry - instrumentation ; Middle Aged ; normal values ; Peristalsis ; position ; Posture ; Young Adult</subject><ispartof>Neurogastroenterology and motility, 2015-02, Vol.27 (2), p.285-292</ispartof><rights>2015 John Wiley & Sons Ltd</rights><rights>2015 John Wiley & Sons Ltd.</rights><rights>Copyright © 2015 John Wiley & Sons Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4891-1e2158fa3b8defad736e8cdbfec28a439225b5f9047cf4b28c7a6ba5b179f43</citedby><cites>FETCH-LOGICAL-c4891-1e2158fa3b8defad736e8cdbfec28a439225b5f9047cf4b28c7a6ba5b179f43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fnmo.12501$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fnmo.12501$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,786,790,27957,27958,50923,51032</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25557525$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Carmo, G. C.</creatorcontrib><creatorcontrib>Jafari, J.</creatorcontrib><creatorcontrib>Sifrim, D.</creatorcontrib><creatorcontrib>Oliveira, R. B.</creatorcontrib><title>Normal esophageal pressure topography metrics for data derived from the Sandhill‐Unisensor high‐resolution manometry assembly in supine and sitting positions</title><title>Neurogastroenterology and motility</title><addtitle>Neurogastroenterol Motil</addtitle><description>Background
Normal values of the esophageal motor function parameters for high‐resolution manometry (HRM‐EPT) adopted by the Chicago classification were established using the proprietary system of Given Imaging. It is conceivable that normal values of a system do not apply to data from others. Most studies using HRM were based on supine swallows, whereas deglutition occurs mostly in the upright position. We wished to establish normal values for HRM‐EPT parameters obtained with the Sandhill's HRM‐EPT system and compare the results in supine and sitting positions.
Methods
Sixty‐nine healthy volunteers, 38 females, median age 27 years, were included in this study. All underwent supine HRM, and 34 of them underwent sitting HRM, with at least 10 single 5‐mL swallows for analysis obtained in each position.
Key Results
The normal range (5–95th percentiles) for the following parameters was calculated: distal contractile integral (DCI), 606–4998 mmHg·s·cm; contractile front velocity (CFV), 2.0–6.5 cm/s; distal latency (DL), 5.1–8.8 s; intrabolus pressure (IBP), 1.9–17.6 mmHg; upper esophageal sphincter (UES) pressure, 45.2–186.9 mmHg; esophagogastric junction (EGJ) length, 1.8–4 cm; EGJ resting pressure, 8.1–61.6 mmHg, and integrated relaxation pressure (IRP) 2.5–23.5 mmHg. Normal values of EGJ resting pressure, IRP, DCI, and IBP but not CFV, DL, and UES resting pressure were significantly lower in the sitting posture.
Conclusions & Inferences
Studies performed with Sandhill's HRM‐EPT system should use its own specific normal data. Normal values should be established for different study
We established normal values for HRM parameters from Western healthy volunteers (Brazilian and British) using the Sandhill‐Unisensor HRM system. Upper normal limits for IRP and LES resting pressure are higher than those used in the Chicago classification. As data on HRM in supine and sitting positions are scanty, we acquired HRM data in both conditions, and confirmed that the normal values of EGJ resting pressure, IRP, DCI, and IBP are significantly lower in the sitting than in the supine position.</description><subject>Adult</subject><subject>Aged</subject><subject>Deglutition</subject><subject>esophagus</subject><subject>Esophagus - physiology</subject><subject>Female</subject><subject>high‐resolution manometry</subject><subject>Humans</subject><subject>Image Interpretation, Computer-Assisted - methods</subject><subject>Male</subject><subject>Manometry - instrumentation</subject><subject>Middle Aged</subject><subject>normal values</subject><subject>Peristalsis</subject><subject>position</subject><subject>Posture</subject><subject>Young Adult</subject><issn>1350-1925</issn><issn>1365-2982</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><recordid>eNp1kUtu1TAUhq2qiJaWQTeALHUCg7SxY-cxrCoKSKUdlI4jJzm-ceVH6pOAMusS2AJbYyX4cgsDJDw5v44-f7L8E3LC8jOWzrl34YxxmbM9csiKUma8qfn-Nss8Yw2XB-QV4kOe5yUX5UtywKWUleTykPy4CdEpSwHDNKoNpDhFQFwi0DlMYRPVNK7UwRxNj1SHSAc1KzpANF9hoDoGR-cR6J3yw2is_fn0_d4bBI8JHc1mTIskDHaZTfDUKR-2spUqRHCdXanxFJfJeKBJQdHMs_EbOoWU0g08Ji-0sgivn-cRubt6_-XyY3Z9--HT5cV11ou6YRkDzmStVdHVA2g1VEUJdT90GnpeK1E0nMtO6iYXVa9Fx-u-UmWnZMeqRoviiLzdWacYHhfAuXUGe7BWeQgLtqyUXLBKNmVCT_9BH8ISfXpbokSdPrkSW-rdjupjQIyg2ykap-Lasrzdttam1trfrSX2zbNx6RwMf8k_NSXgfAd8MxbW_5vam8-3O-UvPU-oHg</recordid><startdate>201502</startdate><enddate>201502</enddate><creator>Carmo, G. C.</creator><creator>Jafari, J.</creator><creator>Sifrim, D.</creator><creator>Oliveira, R. B.</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201502</creationdate><title>Normal esophageal pressure topography metrics for data derived from the Sandhill‐Unisensor high‐resolution manometry assembly in supine and sitting positions</title><author>Carmo, G. C. ; Jafari, J. ; Sifrim, D. ; Oliveira, R. B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4891-1e2158fa3b8defad736e8cdbfec28a439225b5f9047cf4b28c7a6ba5b179f43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Deglutition</topic><topic>esophagus</topic><topic>Esophagus - physiology</topic><topic>Female</topic><topic>high‐resolution manometry</topic><topic>Humans</topic><topic>Image Interpretation, Computer-Assisted - methods</topic><topic>Male</topic><topic>Manometry - instrumentation</topic><topic>Middle Aged</topic><topic>normal values</topic><topic>Peristalsis</topic><topic>position</topic><topic>Posture</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Carmo, G. C.</creatorcontrib><creatorcontrib>Jafari, J.</creatorcontrib><creatorcontrib>Sifrim, D.</creatorcontrib><creatorcontrib>Oliveira, R. B.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Neurogastroenterology and motility</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Carmo, G. C.</au><au>Jafari, J.</au><au>Sifrim, D.</au><au>Oliveira, R. B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Normal esophageal pressure topography metrics for data derived from the Sandhill‐Unisensor high‐resolution manometry assembly in supine and sitting positions</atitle><jtitle>Neurogastroenterology and motility</jtitle><addtitle>Neurogastroenterol Motil</addtitle><date>2015-02</date><risdate>2015</risdate><volume>27</volume><issue>2</issue><spage>285</spage><epage>292</epage><pages>285-292</pages><issn>1350-1925</issn><eissn>1365-2982</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>Background
Normal values of the esophageal motor function parameters for high‐resolution manometry (HRM‐EPT) adopted by the Chicago classification were established using the proprietary system of Given Imaging. It is conceivable that normal values of a system do not apply to data from others. Most studies using HRM were based on supine swallows, whereas deglutition occurs mostly in the upright position. We wished to establish normal values for HRM‐EPT parameters obtained with the Sandhill's HRM‐EPT system and compare the results in supine and sitting positions.
Methods
Sixty‐nine healthy volunteers, 38 females, median age 27 years, were included in this study. All underwent supine HRM, and 34 of them underwent sitting HRM, with at least 10 single 5‐mL swallows for analysis obtained in each position.
Key Results
The normal range (5–95th percentiles) for the following parameters was calculated: distal contractile integral (DCI), 606–4998 mmHg·s·cm; contractile front velocity (CFV), 2.0–6.5 cm/s; distal latency (DL), 5.1–8.8 s; intrabolus pressure (IBP), 1.9–17.6 mmHg; upper esophageal sphincter (UES) pressure, 45.2–186.9 mmHg; esophagogastric junction (EGJ) length, 1.8–4 cm; EGJ resting pressure, 8.1–61.6 mmHg, and integrated relaxation pressure (IRP) 2.5–23.5 mmHg. Normal values of EGJ resting pressure, IRP, DCI, and IBP but not CFV, DL, and UES resting pressure were significantly lower in the sitting posture.
Conclusions & Inferences
Studies performed with Sandhill's HRM‐EPT system should use its own specific normal data. Normal values should be established for different study
We established normal values for HRM parameters from Western healthy volunteers (Brazilian and British) using the Sandhill‐Unisensor HRM system. Upper normal limits for IRP and LES resting pressure are higher than those used in the Chicago classification. As data on HRM in supine and sitting positions are scanty, we acquired HRM data in both conditions, and confirmed that the normal values of EGJ resting pressure, IRP, DCI, and IBP are significantly lower in the sitting than in the supine position.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>25557525</pmid><doi>10.1111/nmo.12501</doi><tpages>8</tpages></addata></record> |
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| source | Wiley |
| subjects | Adult Aged Deglutition esophagus Esophagus - physiology Female high‐resolution manometry Humans Image Interpretation, Computer-Assisted - methods Male Manometry - instrumentation Middle Aged normal values Peristalsis position Posture Young Adult |
| title | Normal esophageal pressure topography metrics for data derived from the Sandhill‐Unisensor high‐resolution manometry assembly in supine and sitting positions |
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