Analysis of ambulatory duodenogastroesophageal reflux monitoring.

作者: Rosario Cuomo , Gerardus Koek , Daniel Sifrim , Jozef Janssens , Jan Tack

DOI: 10.1023/A:1005667731289

关键词:

摘要: Some methodological in vitro observations concerning bile reflux monitoring (Bilitec) suggested that Bilitec is underestimating an acid environment. Moreover, other studies showed the area above cutoff level of bilirubin absorbance would provide adequate quantitative marker for duodenal contents. Our aim was to study whether correction intraesophageal acidity and during affects results correlation with pH measurement esophageal lesions. In 84 patients (46 men; mean age 46 +/- 2.7 years) evaluated suspected gastroesophageal disease, we performed ambulatory 24-hr after upper gastrointestinal endoscopy. We obtained total area, percent time, by computer software. The factor based on literature data acidified (0.06 < 3.6; 0.21 2.6). Endoscopy revealed esophagitis grade 1-2 (E1-2) 3-4 (E3-4) 23 16 patients, respectively. A progressive increase mixed (acid + bile) occurred increasing severity endoscopic lesions (E3-4 vs no esophagitis, P 0.05). pathologic result present same 35 before between time not improved (r = 0.386 r 0.391; 0.14 (abs x min) 7.8 2.2 without 11.7 4.4 17.0 4.2 E1-2 E3-4 groups, respectively regarding 0.427, 0.01) or below 4 0.280, 0.05) considering level. Correction has only a minor effect monitoring. Taking into account surface rather than does improve

参考文章(17)
F. Stipa, H. J. Stein, H. Feussner, S. Kraemer, J. R. Siewert, Assessment of non-acid esophageal reflux: comparison between long-term reflux aspiration test and fiberoptic bilirubin monitoring. Diseases of The Esophagus. ,vol. 10, pp. 24- 28 ,(1997) , 10.1093/DOTE/10.1.24
M. F. Vaezi, R. G. Lacamera, J. E. Richter, Validation studies of Bilitec 2000: an ambulatory duodenogastric reflux monitoring system American Journal of Physiology-gastrointestinal and Liver Physiology. ,vol. 267, ,(1994) , 10.1152/AJPGI.1994.267.6.G1050
M. S. Whiteley, D. Prytherch, B. Higgins, P. C. Weaver, W. G. Prout, Comparative audit of colorectal resection with the POSSUM scoring system British Journal of Surgery. ,vol. 82, pp. 425- 426 ,(2005) , 10.1002/BJS.1800820358
WALTER E. DRANE, KASTYTIS KARVELIS, DAVID A. JOHNSON, EUGENE D. SILVERMAN, Scintigraphic evaluation of duodenogastric reflux. Problems, pitfalls, and technical review. Clinical Nuclear Medicine. ,vol. 12, pp. 377- 384 ,(1987) , 10.1097/00003072-198705000-00011
S Y Iftikhar, S Ledingham, D F Evans, S W Yusuf, R J Steele, M Atkinson, J D Hardcastle, Alkaline gastro-oesophageal reflux: dual probe pH monitoring. Gut. ,vol. 37, pp. 465- 470 ,(1995) , 10.1136/GUT.37.4.465
M T P Caldwell, P J Byrne, N Brazil, V Crowley, S E A Attwood, T N Walsh, T P J Hennessy, An ambulatory bile reflux monitoring system: an in vitro appraisal Physiological Measurement. ,vol. 15, pp. 57- 65 ,(1994) , 10.1088/0967-3334/15/1/005
D. C. Gotley, A. P. Morgan, M. J. Cooper, Bile acid concentrations in the refluxate of patients with reflux oesophagitis British Journal of Surgery. ,vol. 75, pp. 587- 590 ,(2005) , 10.1002/BJS.1800750632
Robert E.K. Marshall, Angela Anggiansah, Wendy A. Owen, William J. Owen, The temporal relationship between oesophageal bile reflux and pH in gastro-oesophageal reflux disease. European Journal of Gastroenterology & Hepatology. ,vol. 10, pp. 385- 392 ,(1998) , 10.1097/00042737-199805000-00006
Gregory Champion, Joel E Richter, Michael F Vaezi, Swarnjit Singh, Ronald Alexander, Duodenogastroesophageal reflux: relationship to pH and importance in Barrett's esophagus Gastroenterology. ,vol. 107, pp. 747- 754 ,(1994) , 10.1016/0016-5085(94)90123-6