The Physiology and Pathophysiology of Gastroesophageal Reflux in Patients with Laparoscopic Adjustable Gastric Band
| Autor: | Cheryl Laurie, Peter Nottle, Geraldine J. Ooi, Paul E. O'Brien, Geoff Hebbard, Andrew Smith, Richard Yao-Yen Chen, Gary Crosthwaite, Wendy A. Brown, Paul Burton |
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| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Esophageal pH Monitoring Supine position Manometry Endocrinology Diabetes and Metabolism Bariatric Surgery 030209 endocrinology & metabolism Asymptomatic Gastroenterology 03 medical and health sciences Basal (phylogenetics) 0302 clinical medicine Weight loss Internal medicine Humans Medicine Adjustable gastric band Nutrition and Dietetics medicine.diagnostic_test business.industry Reflux Middle Aged Gastroesophageal Reflux Laparoscopy 030211 gastroenterology & hepatology Surgery Pouch medicine.symptom business Esophageal pH monitoring |
| Zdroj: | Obesity Surgery. 27:2434-2443 |
| ISSN: | 1708-0428 0960-8923 |
| Popis: | The effect of the laparoscopic adjustable gastric band (LAGB) on esophageal acid exposure and reflux is poorly understood. Optimal technique and normative values for acid exposure have not been established in this group. High-resolution manometry (HRM) and 24-h ambulatory esophageal pH monitoring were performed in three groups: asymptomatic LAGB, symptomatic LAGB, and pre-operative reflux patients. This technique utilized intraluminal pressure signatures during HRM to guide accurate pH sensor placement. The LAGB groups were well matched: age 48 vs 51 years (p = 0.249), weight loss 27.3 vs 26.7 kg (p = 0.911). The symptomatic group had a larger gastric pouch (5.2 vs 3.3 cm, p = 0.012), with higher esophageal acid exposure (10.8 vs 0.9%, p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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