Abstract:
:The purpose of this study is to determine whether lower esophageal sphincter (LES) incompetency is a common occurrence in patients with liver cirrhosis and contributes to the development of variceal bleeding. Resting LES pressure (17.8 +/- 1.1 mm Hg) in 35 patients with cirrhosis was similar to that of our control population (17.3 +/- 2.0 mm Hg). No differences were found among patients with ascites, variceal hemorrhage, or with different degrees of hepatic decompensation. In both patients and control subjects the LES responded with a significant pressure increase to gastric alkalinization. Symptoms and radiological evidence of gastroesophageal reflux were extremely uncommon in patients with liver cirrhosis. Based on these data it is unlikely that acid-pepsin regurgitation is a significant factor in the development of variceal hemorrhage.
journal_name
Gastroenterologyjournal_title
Gastroenterologyauthors
Eckardt VF,Grace ND,Kantrowitz PAkeywords:
subject
Has Abstractpub_date
1976-08-01 00:00:00pages
185-9issue
2eissn
0016-5085issn
1528-0012pii
S0016508576001893journal_volume
71pub_type
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