Improvement of gastroesophageal reflux disease in Japanese patients with spinal kyphotic deformity who underwent surgical spinal correction

2015 ◽  
Vol 28 (1) ◽  
pp. 50-58 ◽  
Author(s):  
Mitsushige Sugimoto ◽  
Tomohiko Hasegawa ◽  
Masafumi Nishino ◽  
Shu Sahara ◽  
Takahiro Uotani ◽  
...  
2014 ◽  
Vol 146 (5) ◽  
pp. S-166
Author(s):  
Mitsushige Sugimoto ◽  
Takahiro Uotani ◽  
Shu Sahara ◽  
Hitomi Ichikawa ◽  
Mihoko Yamade ◽  
...  

2015 ◽  
Vol 148 (4) ◽  
pp. S-619 ◽  
Author(s):  
Mitsushige Sugimoto ◽  
Shu Sahara ◽  
Hitomi Ichikawa ◽  
Takahiro Uotani ◽  
Mihoko Yamade ◽  
...  

Digestion ◽  
2010 ◽  
Vol 81 (3) ◽  
pp. 135-141 ◽  
Author(s):  
Yasuhiro Fujiwara ◽  
Yukie Kohata ◽  
Makiko Kaji ◽  
Hiroko Nebiki ◽  
Tomoaki Yamasaki ◽  
...  

2020 ◽  
Vol 55 (11) ◽  
pp. 1046-1053 ◽  
Author(s):  
Akinari Sawada ◽  
Hideaki Itami ◽  
Kenichiro Nakagawa ◽  
Shinji Hirano ◽  
Hiroyuki Kitamura ◽  
...  

Abstract Background Supragastric belching (SGB) may play a role in the pathophysiology of proton pump inhibitors (PPIs)-refractoriness in gastroesophageal reflux disease (GERD). SGB may be present in up to 40% of reflux symptoms in PPI-refractory GERD. Most reports on SGB have come from Western countries, and little is known about the prevalence and relevance of SGB in Asian refractory GERD patients. This study aimed at comparing the role of SGB in GERD patients in Japan and the UK. Methods We re-analyzed impedance-pH monitoring tracings from patients who were referred to tertiary centers in Japan and the UK due to PPI-refractory reflux symptoms. The prevalence of excessive SGB and the impact of SGB on reflux symptoms were compared between the two countries. Results Impedance-pH tracings from124 Japanese and 83 British patients were re-analyzed. Japanese patients were significantly younger and had smaller body mass index than the British (P < 0.001). Japanese patients had significantly lower prevalence of excessive SGB (18.5%) than the UK (36.1%) irrespective of reflux phenotype (P = 0.006). Logistic regression analysis showed that the geographical/cultural difference was the only factor associated with the different prevalence of SGB (odds ratio; 2.91, 95% CI 1.09–7.73, P = 0.032). SGB were related to typical reflux symptoms very rarely in Japan [0% (0–4.9)] compared to the UK [35% (0–54.1)] (P = 0.071). Conclusions The prevalence of SGB and their impact on reflux symptoms is significantly lower in Japan compared to the UK. The difference is not related to reflux parameters but might come from ethnic/cultural factors to be further characterized.


2007 ◽  
Vol 42 (3) ◽  
pp. 205-210 ◽  
Author(s):  
Kazuhide Higuchi ◽  
Yasuhiro Fujiwara ◽  
Hirotoshi Okazaki ◽  
Masahiko Tabuchi ◽  
Natsuhiko Kameda ◽  
...  

2011 ◽  
Vol 21 (3) ◽  
pp. 89-99
Author(s):  
Michael F. Vaezi

Gastroesophageal reflux disease (GERD) is a commonly diagnosed condition often associated with the typical symptoms of heartburn and regurgitation, although it may present with atypical symptoms such as chest pain, hoarseness, chronic cough, and asthma. In most cases, the patient's reduced quality of life drives clinical care and diagnostic testing. Because of its widespread impact on voice and swallowing function as well as its social implications, it is important that speech-language pathologists (SLPs) understand the nature of GERD and its consequences. The purpose of this article is to summarize the nature of GERD and GERD-related complications such as GERD-related peptic stricture, Barrett's esophagus and adenocarcinoma, and laryngeal manifestations of GERD from a gastroenterologist's perspective. It is critical that SLPs who work with a multidisciplinary team understand terminology, diagnostic tools, and treatment to ensure best practice.


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