The Pdi was calculated by subtraction of the esophageal pressure (Pes) from the gastric pressure (Pga), ie, (Pdi = Pga − Pes). The Pes and Pga were measured by one double-lumen catheter separately opening into two latex balloons (Figure 3) respectively positioned 10 cm above the cardia and in the stomach. Furthermore, the two latex balloons were respectively filled with 0.5 mL and 1–2 mL of air.11 (link) The mouth pressure (Pm) was measured by detecting the pressure in the mouthpiece.12 (link) The mouthpiece and the two lumens of the catheter were respectively coupled to three pressure transducers (MLT844; ADInstruments, Bella Vista, NSW, Australia) that were connected to the biological signal acquisition and analysis system (Powerlab 16/35; ADInstruments) via a four-channel bridge amplifier (FE224; ADInstruments). The flow rate was obtained by using a pressure differential pneumotachograph (MLT300L; ADInstruments).