Bipositional reflux
WebOct 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 … WebApr 1, 2008 · Introduction. Traditionally, patients with gastroesophageal reflux disease (GERD) have been classified into one of three types of reflux related to body position: upright, supine or bipositional. 1 It has been suggested that patients with upright reflux tend to have worse postoperative outcomes and poorer quality of life scores after …
Bipositional reflux
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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, ... 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.
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. WebThe 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 …
WebRecently, bipositional high resolution manometry was demonstrated to be useful in determining the severity of impaired LES function, especially in patients with isolated upright reflux, in whom a defective LES was found … 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 …
WebMay 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 …
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, … iphone alarm clock app problemsWebHypothesis 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 … iphone alarm clock for heavy sleepersWebAug 1, 1999 · Patients with bipositional reflux were significantly more likely to have mucosal injury than patients with postprandial, upright, or supine reflux; 78% had … iphone airpods price in philippinesWebMay 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]. iphone alarm apps for heavy sleepersWebGastrocolic 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 … iphone airplay windowsWebSurgical 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 … iphone air vent car mountWebA 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. iphone airdrop stuck on waiting