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Provedor de dados:  BJMBR
País:  Brazil
Título:  Primary and secondary esophageal contractions in patients with gastroesophageal reflux disease
Autores:  Aben-Athar,C.G.
Dantas,R.O.
Data:  2006-08-01
Ano:  2006
Palavras-chave:  Esophageal contractions
Gastroesophageal reflux disease
Esophagitis
Heartburn
Esophageal motility
Resumo:  We studied the primary and secondary esophageal peristalsis in 36 patients with heartburn and acid regurgitation and in 14 asymptomatic volunteers. Primary peristalsis was elicited by ten swallows of a 5-mL bolus of water and secondary peristalsis was elicited by intra-esophageal infusion of 5, 10, and 15 mL water, 0.1 N hydrochloric acid and air. Esophageal contractions were measured by an 8-lumen manometric catheter assembly incorporating a 6-cm sleeve device. Contractions were registered at 3, 9, and 15 cm from the upper margin of the sleeve and the infusion was done through a side hole located at 12 cm. Twenty patients had normal endoscopic esophageal examination, 10 with normal (group I) and 10 with abnormal pH-metric examination (group II), and 16 had esophagitis (group III). The amplitude of contractions after swallows was lower (97.8 ± 10.0 mmHg) in the distal esophagus of group III patients than in controls (142.3 ± 14.0 mmHg). Patients of group III had fewer secondary contractions (water: 25% of infusion) than patients of the other groups and controls (67% of infusion). Patients of group III also had a lower amplitude of secondary peristalsis in the distal esophagus (water: 70.1 ± 9.6 mmHg) than controls (129.2 ± 18.2 mmHg). We conclude that patients with esophagitis have an impairment of primary and secondary peristalsis in the distal esophagus.
Tipo:  Info:eu-repo/semantics/article
Idioma:  Inglês
Identificador:  http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2006000800005
Editor:  Associação Brasileira de Divulgação Científica
Relação:  10.1590/S0100-879X2006000800005
Formato:  text/html
Fonte:  Brazilian Journal of Medical and Biological Research v.39 n.8 2006
Direitos:  info:eu-repo/semantics/openAccess
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