Bipositional reflux

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Websupine only, and bipositional reflux.3 These categoriza-tions are most often considered to echo the progressive worsening of reflux, with upright reflux patterns seen in early disease and bipositional in late, severe disease.4 Although they have less severe disease, patients with upright reflux disease are believed to do worse follow- WebGastrocolic reflex. The gastrocolic reflex or gastrocolic response is a physiological reflex that controls the motility, or peristalsis, of the gastrointestinal tract following a meal. It …

Pathophysiology of gastroesophageal reflux disease

WebJul 1, 2008 · Relief of excessive acid reflux, regardless of severity or degree (i.e., DeMeester scores), ... Cowgill S.M., Al-Saadi S., Villadolid D.et al. Upright, supine, or bipositional reflux: Patterns of reflux do not affect outcome after laparoscopic Nissen fundoplication. Surg Endosc 2007; 21: 2193–8. WebNov 1, 2002 · Supine reflux was present in 31%, upright in 24%, and the remaining 44% had bipositional reflux. Preoperatively there were no differences in the frequency of typical or atypical symptoms between groups. At a mean follow-up of 18 ± 11 months postoperatively, there were marked differences in symptoms between groups. songs on the trumpet

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WebThe percent time with pH less than 4 was used to assign patients to one of four groups: upright reflux (pH < 4 more than 8.3% of time in upright position, n = 80), supine reflux … WebMay 16, 2006 · A structural defect as reflected by decreased LES pressure and length is also significantly more common with supine and bipositional reflux 88 . Therefore, … WebHypothesis Traditionally, patients with gastroesophageal reflux disease fall into 3 categories based on 24-hour pH testing and the clinical occurrence of their acid exposure. Patients … songs on the ram album

Patients With Upright Reflux Have Less Favorable ... - ScienceDirect

WebJan 4, 2024 · Endoscopy. Your health care provider might be able to diagnose GERD based on a history of your signs and symptoms and a physical examination. To confirm a diagnosis of GERD, or to check for … WebMay 24, 2007 · Patients were considered to have isolated bipositional reflux if they had a pH of less than 4.0 for more than 3.5% of the time spent in the supine position and … songs on the rubber soul albumWebThe aim of this study was to compare symptomatic outcomes after laparoscopic antireflux surgery in patients with upright vs. supine reflux. A prospective database was used to assess postoperative clinical outcomes in relation to positional patterns of reflux in 117 patients. Supine reflux was present in 31%, upright in 24%, and the remaining 44% had … songs on the ultimate bee gees cd

"WebJan 1, 2008 · In patients with pathological bipositional reflux, however, preoperative total acid exposure was higher than that in patients with upright or supine reflux (18.3% vs. … " - Bipositional reflux

Bipositional reflux

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WebSurgical reintervention was significantly more common in bipositional reflux patients (20.0 vs. 8.9% for upright and 4.1% for supine). CONCLUSIONS: All three pathological … WebApr 5, 2007 · In contrast, bipositional and supine reflux patients have poor motility in the esophageal body and low LES pressure, and thus reflux may be increased by early retiring to bed. Gastric emptying slows during the first half of the night [15, 16], and this may predispose to reflux.

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WebApr 1, 2003 · In patients with pathological bipositional reflux, however, preoperative total acid exposure was higher than that in patients with upright or supine reflux (18.3% vs. 10.7 and 7.5%; P<0.001 and P ... WebApr 1, 2005 · In contrast, use of the WD did not change the results of esophageal pH-metry in subjects with a supine or bipositional reflux pattern (group 3 and 4 patients). Discussion. The idea that diet modification influences reflux patterns has been investigated earlier by others for a variety of foods.

WebJun 25, 2011 · Esophageal manometry demonstrated normotensive upper and lower esophageal sphincters with normal esophageal body peristalsis. An ambulatory 24-h pH study off proton pump inhibitors was remarkable for moderate bipositional reflux characterized by a DeMeester score of 51.4 (normal < 15) with excellent correlation …

WebAug 1, 2004 · Success following surgery was achieved in 73.3% with supine reflux, 80.4% with upright reflux, and 75.0% with bipositional reflux. Patients with bipositional reflux have the most severe disease. WebSep 27, 2024 · The gastrocolic reflex is a physiologic response in which the simple act of eating stimulates movement in the gastrointestinal tract. This is what makes you feel the …

WebMay 24, 2007 · Read "Upright, supine, or bipositional reflux, Surgical Endoscopy" on DeepDyve, the largest online rental service for scholarly research with thousands of academic publications available at your fingertips. Preoperatively, regardless of the patterns of reflux, symptoms among patients were similar. After fundoplication, symptoms of …

WebIn contrast, group C supine reflux was as pronounced as the upright reflux. CONCLUSIONS: The majority of patients reflux in the upright position. Only patients with complicated esophagitis have significant bipositional acid reflux. These findings suggest that unless the patient has severe reflux disease, postural measures may not be indicated. songs on the thriller albumWebJan 1, 1999 · Supine reflux was present in 31%, upright in 24%, and the remaining 44% had bipositional reflux. Preoperatively there were no differences in the frequency of typical or atypical symptoms between groups. At a mean follow-up of 18 ± 11 months postoperatively, there were marked differences in symptoms between groups. songs on the voice last weekWebAug 1, 2004 · Success following surgery was achieved in 73.3% with supine reflux, 80.4% with upright reflux, and 75.0% with bipositional reflux. Patients with bipositional … small french tea cakesWebMay 30, 2024 · Three different patterns of reflux can be identified based on esophageal pH study: supine, upright, and bipositional. Although once thought that different patterns would have different surgical outcomes, the most recent literature indicates an equivalent surgical result irrespective of these pH study patterns [44, 45]. songs on the violinWebApr 1, 2008 · Introduction. Traditionally, patients with gastroesophageal reflux disease (GERD) have been classified into one of three types of reflux related to body position: upright, supine or bipositional. 1 It has been suggested that patients with upright reflux tend to have worse postoperative outcomes and poorer quality of life scores after … songs on the voiceWebRecently, bipositional high resolution manometry was demonstrated to be useful in determining the severity of impaired LES function, especially in patients with isolated upright reflux, in whom a defective LES was found … songs on the voice tonightWebOct 1, 1997 · A total of 224 consecutive patients with increased esophageal acid exposure on 24-hour pH monitoring were classified as having upright (n = 54), supine (n = 72), or … songs on top gun