The differences in the esophageal motility between liquid and solid bolus swallows: A multicenter high-resolution manometry study in Chinese asymptomatic volunteers
单位：[a]Division of Gastroenterology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China华中科技大学同济医学院附属协和医院[b]Division of Gastroenterology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China[c]Division of Gastroenterology and Hepatology, Chinese PLA General Hospital, Beijing, China[d]Division of Gastroenterology, Nanfang Hospital, Southern Medical University, Guangzhou, China[e]Division of Gastroenterology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China江苏省人民医院[f]Division of Gastroenterology, Sir Run Run Shaw Hospital, Zhejiang University, Hangzhou, China[g]Division of Gastroenterology, Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing, China[h]Division of Gastroenterology, The First Hospital of Jilin University, Changchun, China[i]Division of Gastroenterology, Beijing Friendship Hospital, Capital Medical University, Beijing, China临床科室国家中心消化分中心消化内科首都医科大学附属北京友谊医院[j]Division of Gastroenterology, Peking University Third Hospital, Beijing, China[k]State Key Laboratory of Cancer Biology and Xijing Hospital of Digestive Disease, Xijing Hospital, Fourth Military Medical University, Xi’an, China
Background The results of the esophageal body motility differences between liquid and solid swallows from high-resolution manometry (HRM) studies are not consistent. The information of the frequency of ineffective liquid and solid bolus swallows in healthy individuals during HRM procedure is limited. The normative values of the HRM parameters of both liquid and solid swallows for Chinese population are lacking. Methods The esophageal HRM data of 101 healthy volunteers from multicenters in China were analyzed. The values of the HRM parameters were summarized and compared between liquid and solid swallows. The frequencies of ineffective liquid and solid swallows were summarized. Results Esophagus contracted stronger and slower in solid bolus swallows than water swallows with HREM. Ineffective water swallow (DCI < 450 mm Hg.s.cm) and ineffective bread swallow (DCI < 800 mm Hg.s.cm) were frequently seen in asymptomatic individuals. The adding of bread swallows to the HREM procedure might cause diagnostic change in about 15.8% (16/101) of the asymptomatic individuals. Conclusions The vigor and velocity of the esophageal peristalsis between liquid and solid bolus swallows are different. Ineffective water and solid bolus swallows are not rare. Adding solid bolus swallows brings diagnostic change, and it may be needed routinely for the HRM procedure.
第一作者单位：[a]Division of Gastroenterology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
共同第一作者：
通讯作者：
通讯机构：[a]Division of Gastroenterology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China[*1]Division of Gastroenterology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
推荐引用方式(GB/T 7714)：
Xiang X,Wang A,Tu L,et al.The differences in the esophageal motility between liquid and solid bolus swallows: A multicenter high-resolution manometry study in Chinese asymptomatic volunteers[J].NEUROGASTROENTEROLOGY and MOTILITY.2019,31(6):doi:10.1111/nmo.13574.
APA：
Xiang, X,Wang, A,Tu, L,Xie, X,Ke, M...&Hou, X.(2019).The differences in the esophageal motility between liquid and solid bolus swallows: A multicenter high-resolution manometry study in Chinese asymptomatic volunteers.NEUROGASTROENTEROLOGY and MOTILITY,31,(6)
MLA：
Xiang, X,et al."The differences in the esophageal motility between liquid and solid bolus swallows: A multicenter high-resolution manometry study in Chinese asymptomatic volunteers".NEUROGASTROENTEROLOGY and MOTILITY 31..6(2019)
