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GERD = gastroesophageal reflux disease.

Figure 16-9 A, This manometry tracing was obtained from a normal volunteer while eating a meal. All contractions are sequential and peristaltic, and there are no more than three or four contraction waves a minute. B, This manometry tracing was obtained from a patient with achalasia while the patient was eating a meal. This nearly fibrillatory pattern of muscular contractions Is in striking contrast to the normal tracing.

Figure 16-9 A, This manometry tracing was obtained from a normal volunteer while eating a meal. All contractions are sequential and peristaltic, and there are no more than three or four contraction waves a minute. B, This manometry tracing was obtained from a patient with achalasia while the patient was eating a meal. This nearly fibrillatory pattern of muscular contractions Is in striking contrast to the normal tracing.

Manometry Tracings

mmHg mmHg mmHg > mmH9 mmHg

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