Bipositional reflux

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August undefined, 2024

WebJan 1, 1999 · Supine reflux was present in 31%, upright in 24%, and the remaining 44% had bipositional reflux. Preoperatively there were no differences in the frequency of typical or atypical symptoms between groups. At a mean follow-up of 18 ± 11 months postoperatively, there were marked differences in symptoms between groups. WebJan 4, 2024 · Endoscopy. Your health care provider might be able to diagnose GERD based on a history of your signs and symptoms and a physical examination. To confirm a diagnosis of GERD, or to check for …

The Preoperative Reflux Pattern as Prognostic Indicator for ... - LWW

WebApr 1, 2003 · In patients with pathological bipositional reflux, however, preoperative total acid exposure was higher than that in patients with upright or supine reflux (18.3% vs. 10.7 and 7.5%; P<0.001 and P ... WebJun 25, 2011 · Esophageal manometry demonstrated normotensive upper and lower esophageal sphincters with normal esophageal body peristalsis. An ambulatory 24-h pH study off proton pump inhibitors was remarkable for moderate bipositional reflux characterized by a DeMeester score of 51.4 (normal < 15) with excellent correlation … gracefield tpn

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WebGastrocolic reflex. The gastrocolic reflex or gastrocolic response is a physiological reflex that controls the motility, or peristalsis, of the gastrointestinal tract following a meal. It … WebAug 1, 2004 · Success following surgery was achieved in 73.3% with supine reflux, 80.4% with upright reflux, and 75.0% with bipositional reflux. Patients with bipositional reflux have the most severe disease. WebA prospective database was used to assess postoperative clinical outcomes in relation to positional patterns of reflux in 117 patients. Supine reflux was present in 31%, upright in 24%, and the remaining 44% had bipositional reflux. Preoperatively there were no differences in the frequency of typical or atypical symptoms between groups. gracefield weather

Proximal Reflux as a Cause of Adult-Onset Asthma: …

Outcomes after laparoscopic Nissen fundoplication are not ... - DeepDyve

WebMay 16, 2006 · A structural defect as reflected by decreased LES pressure and length is also significantly more common with supine and bipositional reflux 88 . Therefore, … WebNov 4, 2004 · However, with more advanced reflux disease, as seen with supine or bipositional reflux, the LES may become chronically incompetent with impaired oesophageal clearance, leading to increased mucosal injury. 92. Finally, nocturnal GERD is a period of increased risk for proximal migration of refluxed gastric contents, ... chiller system design and controlWebJan 1, 2008 · In patients with pathological bipositional reflux, however, preoperative total acid exposure was higher than that in patients with upright or supine reflux (18.3% vs. … gracefield the promised neverland

"WebMay 24, 2007 · Read "Upright, supine, or bipositional reflux, Surgical Endoscopy" on DeepDyve, the largest online rental service for scholarly research with thousands of academic publications available at your fingertips. Preoperatively, regardless of the patterns of reflux, symptoms among patients were similar. After fundoplication, symptoms of … " - Bipositional reflux

Bipositional reflux

Postoperative Objective Outcomes for Upright, Supine, and Bipositional …

WebIn contrast, group C supine reflux was as pronounced as the upright reflux. CONCLUSIONS: The majority of patients reflux in the upright position. Only patients with complicated esophagitis have significant bipositional acid reflux. These findings suggest that unless the patient has severe reflux disease, postural measures may not be indicated. WebJul 1, 2008 · Relief of excessive acid reflux, regardless of severity or degree (i.e., DeMeester scores), ... Cowgill S.M., Al-Saadi S., Villadolid D.et al. Upright, supine, or bipositional reflux: Patterns of reflux do not affect outcome after laparoscopic Nissen fundoplication. Surg Endosc 2007; 21: 2193–8.

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WebMay 1, 2024 · Within patients with GERD, a severe GERD phenotype exists characterized by advanced grade esophagitis (Los Angeles grade C or D), and/or AET >12.0%, bipositional reflux or Demeester score >50, which requires either continuous long-term PPI therapy or invasive anti-reflux procedures, in addition to optimization of lifestyle measures. Websupine only, and bipositional reflux.3 These categoriza-tions are most often considered to echo the progressive worsening of reflux, with upright reflux patterns seen in early disease and bipositional in late, severe disease.4 Although they have less severe disease, patients with upright reflux disease are believed to do worse follow-

WebMay 30, 2024 · Three different patterns of reflux can be identified based on esophageal pH study: supine, upright, and bipositional. Although once thought that different patterns would have different surgical outcomes, the most recent literature indicates an equivalent surgical result irrespective of these pH study patterns [44, 45]. WebThe prevalence of bipositional reflux also increased progressively from patients without BE to those with SSBE and LSBE. Lastly, while bile exposure in the distal esophagus was similar in patients with SSBE and LSBE, it was significantly higher in both groups compared with patients without BE.

WebOnly patients with complicated esophagitis have significant bipositional acid reflux. These findings suggest that unless the patient has severe reflux disease, postural measures … WebSep 27, 2024 · The gastrocolic reflex is a physiologic response in which the simple act of eating stimulates movement in the gastrointestinal tract. This is what makes you feel the …

WebHypothesis Traditionally, patients with gastroesophageal reflux disease fall into 3 categories based on 24-hour pH testing and the clinical occurrence of their acid exposure. Patients …

WebSurgical reintervention was significantly more common in bipositional reflux patients (20.0 vs. 8.9% for upright and 4.1% for supine). CONCLUSIONS: All three pathological … chiller tekWebThe percent time with pH less than 4 was used to assign patients to one of four groups: upright reflux (pH < 4 more than 8.3% of time in upright position, n = 80), supine reflux … grace fifieldWebOct 1, 1997 · A total of 224 consecutive patients with increased esophageal acid exposure on 24-hour pH monitoring were classified as having upright (n = 54), supine (n = 72), or … chiller technicalitiesWebAug 1, 1999 · Patients with bipositional reflux were significantly more likely to have mucosal injury than patients with postprandial, upright, or supine reflux; 78% had … grace fieryWebThe aim of this study was to compare symptomatic outcomes after laparoscopic antireflux surgery in patients with upright vs. supine reflux. A prospective database was used to assess postoperative clinical outcomes in relation to positional patterns of reflux in 117 patients. Supine reflux was present in 31%, upright in 24%, and the remaining 44% had … chiller system explainedWebMay 24, 2007 · Patients were considered to have isolated bipositional reflux if they had a pH of less than 4.0 for more than 3.5% of the time spent in the supine position and … chiller technician interview questionsWebApr 5, 2007 · In contrast, bipositional and supine reflux patients have poor motility in the esophageal body and low LES pressure, and thus reflux may be increased by early retiring to bed. Gastric emptying slows during the first half of the night [15, 16], and this may predispose to reflux. chillerthriller.tv