TY - CHAP M1 - Book, Section TI - Esophageal Physiology, Function Tests, and Endoscopic Techniques A1 - Jodorkovsky, Daniela A1 - Clarke, John O. A1 - Dunbar, Kerry B. A2 - Yuh, David D. A2 - Vricella, Luca A. A2 - Yang, Stephen C. A2 - Doty, John R. PY - 2014 T2 - Johns Hopkins Textbook of Cardiothoracic Surgery AB - PhysiologyThe basic function of the esophagus is to propagate a bolus from the oropharynx to the stomach.The coordination of esophageal muscle contractions, vagal innervation, and sphincter relaxation allows this event to occur.Function testsPrimary esophageal motility disorders can be diagnosed using conventional- or high-resolution manometry.Various systems are available for reflux testing including 24-hour catheter-based pH monitoring, wireless capsule pH testing, and combined pH impedance.Endoscopic techniquesHigh-resolution endoscopy, chromoendoscopy, narrow band imaging, and confocal endomicroscopy are techniques that enhance the esophageal mucosa, improving diagnostic yield in Barrett’s esophagus (BE) and early esophageal cancer.Endoscopic ultrasound adds imaging from adjacent structures, and is useful for staging and fine-needle aspiration.Multiple ablative techniques are now available for BE and early esophageal cancer, and include endoscopic mucosal resection, photodynamic therapy, radiofrequency ablation, cryotherapy, and endoscopic mucosal dissection. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/16 UR - accesssurgery.mhmedical.com/content.aspx?aid=1104585912 ER -