Does lower esophageal sphincter incompetency contribute to esophageal bleeding?

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

Gastroenterology

journal_title

Gastroenterology

authors

Eckardt VF,Grace ND,Kantrowitz PA

keywords:

subject

Has Abstract

pub_date

1976-08-01 00:00:00

pages

185-9

issue

2

eissn

0016-5085

issn

1528-0012

pii

S0016508576001893

journal_volume

71

pub_type

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