Bile acid concentrations in the gastric juice of patients with erosive oesophagitis.

Abstract:

:Intragastric total bile acid concentrations were measured before and after a corn oil test meal in 16 patients with erosive oesophagitis and symptoms of gastro-oesophageal reflux. Sixteen age and sex matched control subjects were also studied. No significant difference was detected between fasting or postprandial gastric bile acid concentrations in patients and in control subjects although a wide range of bile acid concentrations was detected among individuals in both groups. Gastric juice pH was less than 3.5 in seven patients when intragastric bile acid concentrations were greater than 200 mumol/l. These results do not support a role for abnormal duodenogastric reflux in the pathogenesis of erosive oesophagitis. The detection of acid reflux in such patients during intra-oesophageal pH monitoring, however, does not exclude the presence of bile acids which may contribute to the cytotoxic potential of gastric juice.

journal_name

Gut

journal_title

Gut

authors

Collins BJ,Crothers G,McFarland RJ,Love AH

doi

10.1136/gut.26.5.495

subject

Has Abstract

pub_date

1985-05-01 00:00:00

pages

495-9

issue

5

eissn

0017-5749

issn

1468-3288

journal_volume

26

pub_type

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