Abstract:
:A previous study showed that supine gastroesophageal reflux occurs mainly in the early nighttime period and is greater if the patient retires within 2 hr of a meal. We analyzed 306 consecutive esophageal pH studies between January and July 2003. Ninety-two patients had abnormal supine reflux. The recumbent period was divided into quarters (Q1-Q4) and reflux parameters were calculated for each period. Reflux was maximal in Q1, and decreased progressively from Q1 to Q4 (P<0.001). Median time between evening meal and retiring was no different from that for 44 upright gastroesophageal reflux patients. Patients retiring within 2 hr of a meal had a higher percentage supine reflux time (P=0.012), but no increase in reflux was observed in those retiring within 3 hr. Supine reflux occurs maximally in the early nighttime period. Although not fully explained as a postprandial phenomenon, these patients should avoid going to bed within 3 hr of a meal.
journal_name
Dig Dis Scijournal_title
Digestive diseases and sciencesauthors
King AL,Baburajan B,Wong T,Anggiansah R,Anggiansah Adoi
10.1007/s10620-006-9707-ysubject
Has Abstractpub_date
2007-10-01 00:00:00pages
2844-9issue
10eissn
0163-2116issn
1573-2568journal_volume
52pub_type
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journal_title:Digestive diseases and sciences
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abstract::Two hundred forty-six patients with a wide range of upper gastrointestinal tract disorders were investigated for the presence of Campylobacter pylori infection in esophagus, gastric antrum, and duodenum. C. pylori was identified in 52% of patients in at least one site, and microbiological and histological techniques w...
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journal_title:Digestive diseases and sciences
pub_type: 杂志文章
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doi:10.1023/a:1025455330704
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pub_type: 杂志文章
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journal_title:Digestive diseases and sciences
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