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intraabdominalpressure.Higherrestingintraesophagealpressuresuggestfunctional(achalasi...
intraabdominal pressure .Higher resting intraesophageal pressure suggest functional(achalasia)or mechanical(stricture)obstruction.Below the partition,there is a cyclical contractile activity that recurs at about 12 per minute.This type of contractile activity is seen in the small bowel during phaseⅢ of the migrating myoelectrical complex. At the end of the study,resting intraesophageal pressure and intrabolus pressure produced by peristalsis(double-headed arrow)are greater than earlier .These findings suggest obstruction.Notice that the cyclical at the bottom of the tracing is gone,indicating passage of the phaseⅢ.Endoscopy confirmed a hiatus hernia of the gastric pouch and a stricture at the gastrojejunostomy anastomosis.
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