A cortical evoked potential study of afferents mediating human esophageal sensation

Anthony R. Hobson, Sanchoy Sarkar, Paul L. Furlong, David G. Thompson, Qasim Aziz*

*Corresponding author for this work

Research output: Contribution to journalArticle

Abstract

The aim of this study was to compare the characteristics of esophageal cortical evoked potentials (CEP) following electrical and mechanical stimulation in healthy subjects to evaluate the afferents involved in mediating esophageal sensation. Similarities in morphology and interpeak latencies of the CEP to electrical and mechanical stimulation suggest that they are mediated via similar pathways. Conduction velocity of CEP to either electrical or mechanical stimulation was 7.9-8.6 m/s, suggesting mediation via thinly myelinated Aδ-fibers. Amplitudes of CEP components to mechanical stimulation were significantly smaller than to electrical stimulation at the same levels of perception, implying that electrical stimulation activates a larger number of afferents. The latency delay of ~50 ms for each mechanical CEP component compared with the corresponding electrical CEP component is consistent with the time delay for the mechanical stimulus to distend the esophageal wall sufficiently to trigger the afferent volley. In conclusion, because the mechanical and electrical stimulation intensities needed to obtain esophageal CEP are similar and clearly perceived, it is likely that both spinal and vagal pathways mediate esophageal CEP. Esophageal CEP to both modalities of stimulation are mediated by myelinated Aδ-fibers and produce equally robust CEP responses. Both techniques may have important roles in the assessment of esophageal sensory processing in health and disease.

Original languageEnglish
Pages (from-to)G139-G147
JournalGastrointestinal and Liver Physiology
Volume279
Issue number1
DOIs
Publication statusPublished - 1 Jul 2000

Keywords

  • Electrical stimulation
  • Esophagus
  • Mechanical stimulation
  • Spinal afferents
  • Vagal afferents

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