Fig. 3

High-resolution esophageal manometry representative of the patient’s swallows. The median integrated relaxation pressure (IRP) was borderline high at 15.5 mmHg, a distal latency (DL) was normal at 6.5 s and the mean distal contractile integral (DCI) was elevated to 14,458 mmHg-s-cm. High amplitude peristaltic esophageal contraction with a DCI > 8000 mmHg-s-cm represented the hypercontractile (JH) esophagus