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Esophageal manometry classically reveals an elevated (hypertensive) basal LES pressure, but in many patients LES pressure may be normal (normotensive), or rarely reduced (hypotensive).
Basal LES pressure is relatively high.
Basal esophageal body and LES pressure may be elevated.
Inhaled albuterol produced a dose-dependent decrease in LES pressure.
The nadir pressure threshold that defines incomplete relaxation depends on the method of analysis of LES pressure, and whether end-expiration, midexpiration, or average LES pressure is used.
The sleeve sensor that was monitoring LES pressure has slipped into the stomach; hence, no recording of LES pressure is visible.
Figure 2: Aperistalsis and diminished lower esophageal sphincter (LES) pressure in a patient with systemic sclerosis.
Often it is associated with increased basal LES pressure and a hypercontracting distal esophagus.
The most important aspect of LES pressure measurement is that of LES relaxation.
Balloon dilatation reduces the basal LES pressure by tearing muscle fibers.
All 12 patients had normal lower esophageal sphincter (LES) pressure and function.
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