Stages of swallowing

STAGES OF SWALLOWING

  • Pharyngeal stage - Phryngeo oesophageal sphincter
  • Oesophageal stage - Significance of lower esophageal sphincter.

Pharyngeal stage

  • Relaxation of pharyngeo oesophageal sphincter.
  • Peristaltic contractions of the pharynx to propel the food bolus from the base of the tongue into laryngopharynx.
  • Propulsion of the bolus via relaxed pharyngeo oesophageal sphincter to the esophagus.
  • Pharyngeo oesophageal sphincter
    • It is also known as upper oesophageal sphincter formed by the cricopharyngeal muscle and oesophageal circular muscle.
    • As the bolus proceeds to upper oesophagus, simultaneous contractions of this sphincter to a closed state to initiate next stage of swallowing reflex.
    • The bolus travels from cranial esophagus to caudal oesophagus via gastro esophageal junction.
    • Gastro esophageal junction is guarded by a lower oesophageal sphincter.
    • Reflex, contraction of the oesophageal muscles to propel the bolus down.
    • This reflex is completed by vagus.
    • Accumulation of several boluses in the oesophagus causes local myogenic stimulus initiates more powerful peristalsis to push the food to gastro oesophageal junction.

Oesophageal stage

  • Lower oesophageal sphincter
    • It differentiates esophagus and stomach.
    • Physiologically is in a high pressure zone.
    • The incoming bolus exert force to open this sphincter.
    • This is an active reflex mediated by vagus to increase oesophageal pressure.
    • Synchronized act of relaxation of lower oesophageal sphincter with oesophageal wave propel the bolus into the stomach.  
Last modified: Thursday, 2 June 2011, 9:39 AM