Normal deglutitive responses of the human lower oesophageal sphincter.

Abstract:

:The responses to deglutition of the lower oesophageal high pressure zone were studied in 13 healthy subjects. The recording assembly included three perfused pressure recording catheters, whose recording orifices were at the same axial level, and a more distally situated pH electrode. Relaxation and contraction progressed in a sequential fashion along the length of the high pressure zone. At the time of maximum relaxation, a small pressure gradient, which was greatest at a point approximately 1 cm distal to the pressure inversion point, was maintained between stomach and oesophagus. The frequency of post-deglutitive contractions in the high pressure zone, which were observed to occur distal to the pressure inversion point in all subjects, steadily increased as the recording assembly was withdrawn proximally. The amplitude of such contractions was greater in the high pressure zone than in the distal oesophagus. There was a significant correlation between maximum resting pressure and amplitude of contractions within the high pressure zone. The proper assessment of the function of the high pressure zone should include consideration of the spatiotemporal relationships of pressure events within the lower oesophagus and the high pressure zone, in addition to measurements of their absolute dimensions. The pH electrode measurements, performed after the intragastric instillation of at least 150 ml of 0.1 N HCl, showed transient falls in the pH of the distal high pressure zone after deglutition in all subjects. These pH responses decreased in frequency as the pH electrode was withdrawn proximally, and did not occur in the non-sphincteric oesophagus. It would appear therefore that although gastroesophageal competence is retained during swallowing, the mucosal lining of the greater part of the high pressure zone is briefly exposed to gastric contents for a few seconds after deglutition.

journal_name

Gut

journal_title

Gut

authors

Kaye MD,Showalter JP

doi

10.1136/gut.13.5.352

subject

Has Abstract

pub_date

1972-05-01 00:00:00

pages

352-60

issue

5

eissn

0017-5749

issn

1468-3288

journal_volume

13

pub_type

杂志文章

相关文献

GUT文献大全
  • Pathology of the defunctioned rectum in ulcerative colitis.

    abstract::Faecal stream diversion may induce inflammatory changes in the defunctioned segment of the large intestine. These changes are predominantly mucosal, although confusing histological features including granulomas may be present. The pathology of 15 defunctioned rectal stumps has been studied. All patients had previously...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.34.4.514

    authors: Warren BF,Shepherd NA,Bartolo DC,Bradfield JW

    更新日期:1993-04-01 00:00:00

  • Gastric, pancreatic, and biliary responses to meals in hyperthyroidism.

    abstract::Upper gastrointestinal function in response to a mixed nutrient meal was evaluated in hyperthyroid patients, both before and after therapy, and in healthy controls. Gastric secretion, gastric emptying, and pancreatic secretion were all normal and normally integrated postprandially in the hyperthyroid patients. Bile ac...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.21.8.695

    authors: Miller LJ,Owyang C,Malagelada JR,Gorman CA,Go VL

    更新日期:1980-08-01 00:00:00

  • CPT2 downregulation adapts HCC to lipid-rich environment and promotes carcinogenesis via acylcarnitine accumulation in obesity.

    abstract:OBJECTIVE:Metabolic reprogramming of tumour cells that allows for adaptation to their local environment is a hallmark of cancer. Interestingly, obesity-driven and non-alcoholic steatohepatitis (NASH)-driven hepatocellular carcinoma (HCC) mouse models commonly exhibit strong steatosis in tumour cells as seen in human st...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2017-315193

    authors: Fujiwara N,Nakagawa H,Enooku K,Kudo Y,Hayata Y,Nakatsuka T,Tanaka Y,Tateishi R,Hikiba Y,Misumi K,Tanaka M,Hayashi A,Shibahara J,Fukayama M,Arita J,Hasegawa K,Hirschfield H,Hoshida Y,Hirata Y,Otsuka M,Tateishi K,

    更新日期:2018-08-01 00:00:00

  • Diabetes increases the risk of hepatocellular carcinoma in the United States: a population based case control study.

    abstract:BACKGROUND:Diabetes has been associated with an increased risk of hepatocellular carcinoma (HCC) in studies of referred patients. This is the first population based case control study in the USA to examine this association while adjusting for other major risk factors related to HCC. METHODS:We used the Surveillance Ep...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2004.052167

    authors: Davila JA,Morgan RO,Shaib Y,McGlynn KA,El-Serag HB

    更新日期:2005-04-01 00:00:00

  • Renal function in fulminant hepatic failure: haemodynamics and renal prostaglandins.

    abstract::Eighteen patients with fulminant liver failure were studied, 10 with normal renal function (group A) and eight with renal failure (group B, plasma creatinine greater than 200 mumol/l). Renal function was assessed by standard clearance techniques and patients in group B had a marked reduction compared with group A in b...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.28.12.1643

    authors: Guarner F,Hughes RD,Gimson AE,Williams R

    更新日期:1987-12-01 00:00:00

  • How well does stool form reflect colonic transit?

    abstract:BACKGROUND:Watery stools are equated with rapid and hard stools with slow intestinal transit; however, the relation between stool form and transit through specific regions of the gut is not clear cut. In addition, more information is needed on interindividual variability of these measurements. AIM:To examine the relat...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.39.1.109

    authors: Degen LP,Phillips SF

    更新日期:1996-07-01 00:00:00

  • Gastritis due to spiral shaped bacteria other than Helicobacter pylori: clinical, histological, and ultrastructural findings.

    abstract::An intensive histological search for Helicobacter pylori in gastric biopsy specimens has led to the detection of other spiral shaped bacteria in the human gastric mucosa. The clinical and morphological findings of 39 cases (0.25% of all gastric biopsies performed in the observation period) are reported for 34 patients...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.32.2.137

    authors: Heilmann KL,Borchard F

    更新日期:1991-02-01 00:00:00

  • U.K. guidelines on the management of variceal haemorrhage in cirrhotic patients.

    abstract::These updated guidelines on the management of variceal haemorrhage have been commissioned by the Clinical Services and Standards Committee (CSSC) of the British Society of Gastroenterology (BSG) under the auspices of the liver section of the BSG. The original guidelines which this document supersedes were written in 2...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2015-309262

    authors: Tripathi D,Stanley AJ,Hayes PC,Patch D,Millson C,Mehrzad H,Austin A,Ferguson JW,Olliff SP,Hudson M,Christie JM,Clinical Services and Standards Committee of the British Society of Gastroenterology.

    更新日期:2015-11-01 00:00:00

  • Improving the selection of patients for upper gastrointestinal endoscopy.

    abstract::A retrospective study was undertaken to investigate how endoscopies yielding positive findings differ a priori from those yielding negative findings: and how those judged 'helpful' (in the sense of influencing management) differ a priori from those judged 'unhelpful'. A total of 483 patients undergoing endoscopy was s...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.34.2.187

    authors: Naji SA,Brunt PW,Hagen S,Mowat NA,Russell IT,Sinclair TS,Tang TM

    更新日期:1993-02-01 00:00:00

  • Primary biliary cirrhosis in men.

    abstract::To determine whether primary biliary cirrhosis differed in men and women we reviewed the presenting features and clinical course of 39 men and 191 women with primary biliary cirrhosis followed at this unit between 1970 and 1984. Age and severity of disease at time of diagnosis were similar in both groups. Pruritus was...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.27.11.1373

    authors: Lucey MR,Neuberger JM,Williams R

    更新日期:1986-11-01 00:00:00

  • Low folate levels may protect against colorectal cancer.

    abstract:BACKGROUND AND AIMS:Dietary folate is believed to protect against colorectal cancer (CRC). However, few studies have addressed the role of circulating levels of folate. The aim of this study was to relate prediagnostic plasma folate and homocysteine concentrations and the methylenetetrahydrofolate reductase (MTHFR) 677...

    journal_title:Gut

    pub_type: 杂志文章,多中心研究

    doi:10.1136/gut.2005.085480

    authors: Van Guelpen B,Hultdin J,Johansson I,Hallmans G,Stenling R,Riboli E,Winkvist A,Palmqvist R

    更新日期:2006-10-01 00:00:00

  • Incorporation of fatty acids from fish oil and olive oil into colonic mucosal lipids and effects upon eicosanoid synthesis in inflammatory bowel disease.

    abstract::The incorporation of the fatty acids in fish and olive oil into the colonic mucosa of patients with inflammatory bowel disease was examined during 12 weeks' dietary supplementation with the oils, and the influence on colonic mucosal prostaglandin and thromboxane generation was measured. With a dietary supplement of 18...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.32.10.1151

    authors: Hillier K,Jewell R,Dorrell L,Smith CL

    更新日期:1991-10-01 00:00:00

  • Rôle of calcitonin in diarrhoea associated with medullary carcinoma of the thyroid.

    abstract::Severe watery diarrhoea in a patient with medullary thryoid carcinoma and high calcitonin levels was associated with increased distal ileal flow. Plasma from the patient inhibited small intestinal fluid absorption in dogs without affecting mucosal cyclic AMP levels. When calcitonin was removed from the plasma, the eff...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.20.7.629

    authors: Cox TM,Fagan EA,Hillyard CJ,Allison DJ,Chadwick VS

    更新日期:1979-07-01 00:00:00

  • In healthy volunteers, immunohistochemistry supports squamous to columnar metaplasia as mechanism of expansion of cardia, aggravated by central obesity.

    abstract:INTRODUCTION:Recently, we showed that the length of cardiac mucosa in healthy volunteers correlated with age and obesity. We have now examined the immunohistological characteristics of this expanded cardia to determine whether it may be due to columnar metaplasia of the distal oesophagus. METHODS:We used the squamocol...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2014-308914

    authors: Derakhshan MH,Robertson EV,Yeh Lee Y,Harvey T,Ferrier RK,Wirz AA,Orange C,Ballantyne SA,Hanvey SL,Going JJ,McColl KE

    更新日期:2015-11-01 00:00:00

  • Qualitative and quantitative evaluation of internal anal sphincter function in the newborn.

    abstract::One-hundred-and-one normal neonates were examined manometrically in the first day of life to assess anorectal function. In order to overcome some of the difficulties in subjective interpretation of results, the stimuli used and the response pattern seen in the anal canal were measured. In the unstimulated state, all s...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.18.12.1036

    authors: Boston VE,Cywes S,Davies MR

    更新日期:1977-12-01 00:00:00

  • Predictors of variceal bleeding: an analysis of clinical, endoscopic, and haemodynamic variables, with special reference to intravariceal pressure.

    abstract::To assist in the prediction of variceal bleeding we examined 12 clinical, endoscopic and haemodynamic variables in 126 patients with portal hypertension (72 bleeders and 54 non-bleeders). Multiple regression and discriminant analysis were utilised for 101 patients. Stepwise regression among the 12 variables explained ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.30.12.1757

    authors: Sarin SK,Sundaram KR,Ahuja RK

    更新日期:1989-12-01 00:00:00

  • Electrodes for 24 hours pH monitoring--a comparative study.

    abstract::Three pH electrodes in clinical use were examined--(1) antimony electrode with remote reference electrode (Synectics 0011), (2) glass electrode with remote reference electrode (Microelectrodes Inc. MI 506) and (3) combined glass electrode with integral reference electrode (Radiometer GK2801C). In vitro studies showed ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.28.8.935

    authors: McLauchlan G,Rawlings JM,Lucas ML,McCloy RF,Crean GP,McColl KE

    更新日期:1987-08-01 00:00:00

  • Intestinal function and intestinal blood supply: a 20 year surgical study.

    abstract::The experience of The Middlesex Hospital in the investigation and management of chronic intestinal arterial occlusion (IAO) over a 20 year period is presented. Of some 100 patients referred only 28 were found to have IAO and these were critically evaluated in terms of insorptive and exsorptive function. No relation wa...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.26.7.656

    authors: Marston A,Clarke JM,Garcia Garcia J,Miller AL

    更新日期:1985-07-01 00:00:00

  • Symptoms and visceral perception in severe functional and organic dyspepsia.

    abstract:BACKGROUND:Hypersensitivity of gastric afferent pathways may play an aetiological role in symptoms of functional dyspepsia. AIMS:To determine whether patients with severe organic dyspepsia (associated with tissue irritation/injury) and those with functional dyspepsia (no detectable tissue irritation) differ in their p...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.42.6.814

    authors: Mertz H,Fullerton S,Naliboff B,Mayer EA

    更新日期:1998-06-01 00:00:00

  • Intraepithelial lymphocyte mitosis in a jejunal biopsy correlates with intraepithelial lymphocyte count, irrespective of diagnosis.

    abstract::When there is villus atrophy in a jejunal biopsy, intraepithelial lymphocyte (IEL) mitosis correlates with a diagnosis of coeliac disease. We have examined the significance of IEL mitosis in jejunal biopsies with normal villi. Counts of IEL per 100 villus enterocytes, and IEL mitosis per 1000 IEL, were carried out in ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.27.6.675

    authors: Ferguson A,Ziegler K

    更新日期:1986-06-01 00:00:00

  • CDK1/2/5 inhibition overcomes IFNG-mediated adaptive immune resistance in pancreatic cancer.

    abstract:OBJECTIVE:Adaptive immune resistance mediated by the cytokine interferon gamma (IFNG) still constitutes a major problem in cancer immunotherapy. We develop strategies for overcoming IFNG-mediated adaptive immune resistance in pancreatic ductal adenocarcinoma cancer (PDAC). DESIGN:We screened 429 kinase inhibitors for ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2019-320441

    authors: Huang J,Chen P,Liu K,Liu J,Zhou B,Wu R,Peng Q,Liu ZX,Li C,Kroemer G,Lotze M,Zeh H,Kang R,Tang D

    更新日期:2020-08-14 00:00:00

  • Persistent systemic inflammatory response after stent insertion in patients with malignant bile duct obstruction.

    abstract:BACKGROUND:Surgery in patients with malignant bile duct obstruction is associated with high postoperative morbidity and mortality. Tumour necrosis factor alpha (TNF-alpha) plays a key role in the pathogenesis of these complications. AIMS:To determine the effect of biliary drainage on plasma concentrations of TNF-alpha...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.42.4.555

    authors: Ballinger AB,Woolley JA,Ahmed M,Mulcahy H,Alstead EM,Landon J,Clark ML,Farthing MJ

    更新日期:1998-04-01 00:00:00

  • Platelet function in fulminant hepatic failure and effect of charcoal haemoperfusion.

    abstract::In 34 patients with fulminant hepatic failure, platelets, in addition to being reduced in numbers, were smaller than those of healthy controls. In keeping with this, capillary bleeding times were significantly longer than could be accounted for by reduction in numbers alone. In a small group of these patients use of c...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.18.11.897

    authors: Weston MJ,Langley PG,Rubin MH,Hanid MA,Mellon P,Williams R

    更新日期:1977-11-01 00:00:00

  • A meta-analysis of rectal NSAIDs in the prevention of post-ERCP pancreatitis.

    abstract:BACKGROUND:Several pharmacological agents for the prevention of post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis (PEP) have been studied. Clinical trials evaluating the protective effect of non-steroidal anti-inflammatory drugs (NSAIDs) have yielded inconclusive results. AIM:To perform a meta-an...

    journal_title:Gut

    pub_type: 杂志文章,meta分析,评审

    doi:10.1136/gut.2007.140756

    authors: Elmunzer BJ,Waljee AK,Elta GH,Taylor JR,Fehmi SM,Higgins PD

    更新日期:2008-09-01 00:00:00

  • Mucosal sulfhydryl compounds evaluation by in vivo electron spin resonance spectroscopy in mice with experimental colitis.

    abstract:BACKGROUND:Sulfhydryl (SH) compounds are essential in maintaining mucosal integrity in the gastrointestinal tract. A decrease in colonic mucosal SH compounds affects the redox status of the mucosa, resulting in vulnerability to further attacks. Therefore, there is a strong need for in vivo evaluation of SH compounds in...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.52.9.1291

    authors: Togashi H,Oikawa K,Adachi T,Sugahara K,Ito J,Takeda T,Watanabe H,Saito K,Saito T,Fukui T,Takeda H,Ohya H,Kawata S

    更新日期:2003-09-01 00:00:00

  • Evidence for the role of a human intestinal adenovirus in the pathogenesis of coeliac disease.

    abstract::We previously noted a region of amino acid sequence homology between A-gliadin, a major alpha-gliadin component known to activate coeliac disease, and the early region E1b protein of human adenovirus serotype 12 (Ad12), an adenovirus isolated from the human intestinal tract. In the present study sera from coeliac dise...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.28.8.995

    authors: Kagnoff MF,Paterson YJ,Kumar PJ,Kasarda DD,Carbone FR,Unsworth DJ,Austin RK

    更新日期:1987-08-01 00:00:00

  • Insight into the prebiotic concept: lessons from an exploratory, double blind intervention study with inulin-type fructans in obese women.

    abstract:OBJECTIVE:To highlight the contribution of the gut microbiota to the modulation of host metabolism by dietary inulin-type fructans (ITF prebiotics) in obese women. METHODS:A double blind, placebo controlled, intervention study was performed with 30 obese women treated with ITF prebiotics (inulin/oligofructose 50/50 mi...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2012-303304

    authors: Dewulf EM,Cani PD,Claus SP,Fuentes S,Puylaert PG,Neyrinck AM,Bindels LB,de Vos WM,Gibson GR,Thissen JP,Delzenne NM

    更新日期:2013-08-01 00:00:00

  • Alcohol consumption in patients with colorectal adenomatous polyps.

    abstract::The risk of developing colorectal adenomatous polyps is probably increased by a variety of dietary and environmental factors. We found an association with current alcohol and cigarette consumption. The risk of polyps was increased three times in drinkers who did not smoke and two times in smokers who did not drink, wi...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.32.1.70

    authors: Cope GF,Wyatt JI,Pinder IF,Lee PN,Heatley RV,Kelleher J

    更新日期:1991-01-01 00:00:00

  • Late results of endoscopic sphincterotomy for bile duct stones in elderly patients with gall bladders in situ.

    abstract::Endoscopic sphincterotomy was undertaken in 186 patients with common bile duct stones and an intact gall bladder who were considered unfit for surgery. One hundred and seventy one patients had jaundice of whom 18 also had clinical cholangitis. The mean age of treated patients was 79.7 years (range 27-92) and only 13 w...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.30.8.1129

    authors: Ingoldby CJ,el-Saadi J,Hall RI,Denyer ME

    更新日期:1989-08-01 00:00:00

  • Helicobacter pylori: a risk and severity factor of non-steroidal anti-inflammatory drug induced gastropathy.

    abstract::This prospective study aimed to determine the prevalence of Helicobacter pylori infection in relation to the occurrence and severity of NSAIDs induced gastropathy. A total of 111 patients were studied-66 were taking NSAIDs and 45 were control patients. All patients underwent endoscopy during which antral biopsy specim...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.33.12.1608

    authors: Heresbach D,Raoul JL,Bretagne JF,Minet J,Donnio PY,Ramée MP,Siproudhis L,Gosselin M

    更新日期:1992-12-01 00:00:00