Document Detail


Manometric findings in patients with isolated distal gastroesophageal reflux.
MedLine Citation:
PMID:  19916177     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: To analyze manometric abnormalities in patients with isolated distal reflux and compare these findings in patients with erosive and non-erosive disease. METHODS: Five hundred and fifty patients who presented to the outpatient clinic of Turkiye Yuksek Ihtisas Hospital with gastroesophageal reflux disease-like symptoms were enrolled. Each individual was evaluated with esophageal manometry, 24-h ambulatory pH monitoring, and upper gastrointestinal endoscopy. Manometric findings for the patients with isolated distal reflux were compared to findings in controls who were free of reflux disorders or hypersensitive esophagus. Findings for isolated distal reflux patients with and without erosive reflux disease were also compared. RESULTS: Of the 550 subjects enrolled, 97 (17.6%, mean age 48 years) had isolated distal reflux and 100 had no abnormalities on ambulatory pH monitoring (control group, mean age 45 years). There were no significant differences between the isolated distal reflux group and control group with respect to age, body mass index, and esophageal body contraction amplitude (EBCA). Mean lower esophageal sphincter pressure was significantly higher in the control group (12.7 +/- 10.3 mmHg vs 9.6 +/- 7.4 mmHg, P = 0.01). Fifty-five (56.7%) of the 97 patients with isolated distal reflux had erosive reflux disease. There were no statistical differences between the erosive reflux disease and non-erosive reflux disease subgroups with respect to mean EBCA, lower esophageal sphincter pressure, or DeMeester score. However, 13% of patients with gastroesophageal reflux disease had distal wave amplitudes < or = 30 mmHg, whereas none of the patients with non-erosive reflux disease had distal wave amplitudes in this low category. CONCLUSION: Patients with erosive and non-erosive disease present with similar manometric abnormalities. The only striking difference is the observation of very low EBCA exclusively in patients with erosive disease.
Authors:
Yasemin Ozin; Ulku Dagli; Sedef Kuran; Burhan Sahin
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  World journal of gastroenterology : WJG     Volume:  15     ISSN:  1007-9327     ISO Abbreviation:  World J. Gastroenterol.     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2009-11-16     Completed Date:  2010-02-05     Revised Date:  2010-09-27    
Medline Journal Info:
Nlm Unique ID:  100883448     Medline TA:  World J Gastroenterol     Country:  China    
Other Details:
Languages:  eng     Pagination:  5461-4     Citation Subset:  IM    
Affiliation:
Gastroenterology Department, Turkey Yuksek Ihtisas Training and Research Hospital, Kizilay Sokak, 06040 Sihhiye, Ankara, Turkey. yoozderin@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Esophageal pH Monitoring
Esophagoscopy / methods
Esophagus / physiopathology*
Female
Gastroesophageal Reflux / diagnosis*
Humans
Hydrogen-Ion Concentration
Male
Manometry / methods*
Middle Aged
Monitoring, Ambulatory / methods
Pressure
Time Factors
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