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0 s) Normal peristaltic sequence Hypertensive Lower Esophageal Sphincter Elevated LES pressure ( 26 mm Hg) Normal LES relaxation Normal peristalsis in the esophageal body Ineffective Esophageal Motility Disorders Decreased or absent amplitude of esophageal peristalsis ( 30 mm Hg) Increased number of nontransmitted contractions Source: Reproduced with permission from DeMeester TR, Stein HJ, Fuchs KH: Physiologic diagnostic studies, in Zuidema GD, Orringer MB (eds): Shack- elfords Surgery of the Alimentary Tract, 3rd ed, color, streak, and luster.
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