Endoscopic Ultrasonography of the Lower Esophageal Sphincter in Reflux Esophagitis and Achalasia

1994 ◽  
Vol 6 (4) ◽  
pp. 334-341
Author(s):  
Shori KUNUGI ◽  
Munehiro KOMATSU ◽  
Toshikazu SEKIGUCHI ◽  
Osamu KAWAMURA ◽  
Tsutomu HORIKOSHI ◽  
...  
Keyword(s):  
Lower Esophageal Sphincter ◽  
Endoscopic Ultrasonography ◽  
Reflux Esophagitis ◽  
Esophageal Sphincter

The Importance of Hiatal Hernia in Reflux Esophagitis Compared with Lower Esophageal Sphincter Pressure or Smoking

1991 ◽  
Vol 13 (6) ◽  
pp. 628-643 ◽  
Author(s):  
Stephen J. Sontag ◽  
Thomas G. Schnell ◽  
Todd Q. Miller ◽  
Bernard Nemchausky ◽  
Rose Serlovsky ◽  
...  
Keyword(s):  
Hiatal Hernia ◽  
Lower Esophageal Sphincter ◽  
Reflux Esophagitis ◽  
Lower Esophageal Sphincter Pressure ◽  
Sphincter Pressure ◽  
Esophageal Sphincter

Preservation of the lower esophageal sphincter during total gastrectomy for gastric cancer to prevent postoperative reflux esophagitis

Surgery Today ◽  
1995 ◽  
Vol 25 (6) ◽  
pp. 507-514 ◽  
Author(s):  
Toshihiro Hirai ◽  
Shuji Saeki ◽  
Kei Matsuki ◽  
Yoshinori Yamashita ◽  
Takashi Iwata ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Total Gastrectomy ◽  
Lower Esophageal Sphincter ◽  
Reflux Esophagitis ◽  
Postoperative Reflux ◽  
Esophageal Sphincter

scholarly journals Esophageal Involvement in Scleroderma: Clinical, Endoscopic, and Manometric Features

2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
M. Lahcene ◽  
N. Oumnia ◽  
N. Matougui ◽  
M. Boudjella ◽  
A. Tebaibia ◽  
...  
Keyword(s):  
Systemic Sclerosis ◽  
Lower Esophageal Sphincter ◽  
Reflux Esophagitis ◽  
Esophageal Manometry ◽  
Mucosal Damage ◽  
Screening Procedure ◽  
Motor Disorders ◽  
Esophageal Involvement ◽  
Esophageal Sphincter ◽  
Clinical Complaint

Aim. To evaluate characteristics of esophageal involvement in scleroderma. Methods. The study was prospective and concerned 194 patients with a definite systemic sclerosis. Gastroesophageal endoscopy and esophageal manometry were performed in all the cases. Results. Symptoms were present in 118 cases (60.8%); they were signs of GERD or dysphagia, respectively, in 94 (48.4%) and 91 patients (46.9%). Reflux esophagitis was found in 73 cases (37.6%); it was mild or moderate in 47 cases (24.2%) and severe or complicated in the remaining cases. Manometry revealed a lower esophageal sphincter incompetence and esophageal motor disorders, respectively, in 118 (60.8%) and 157 cases (80.9%). Presence of these late was not related to age, duration, or skin extension of the disease, but with clinical complaint and/or mucosal damage. Conclusion. Esophageal involvement is frequent during scleroderma. Manometry is the most sensible examination and could be a screening procedure.

scholarly journals Significance of the Lower Esophageal Sphincter Preservation in Preventing Alkaline Reflux Esophagitis in Patients After Total Gastrectomy Reconstructed by Roux-en-Y for Gastric Cancer

2014 ◽  
Vol 99 (2) ◽  
pp. 174-181 ◽  
Author(s):  
Ryouichi Tomita ◽  
Kenichi Sakurai ◽  
Shigeru Fujisaki
Keyword(s):  
Gastric Cancer ◽  
Total Gastrectomy ◽  
Lower Esophageal Sphincter ◽  
Reflux Esophagitis ◽  
Ph Monitoring ◽  
Sphincter Preservation ◽  
Esophageal Ph ◽  
Group A ◽  
Esophageal Sphincter ◽  
Alkaline Reflux

Abstract To clarify the significance of the lower esophageal sphincter (LES) for prevention of alkaline reflux esophagitis (ARE) after total gastrectomy reconstructed by Roux-en-Y (TGRY) for gastric cancer, we investigated LES function and lower esophageal pH in TGRY patients with or without LES preservation. A total of 51 patients 5 years after TGRY were divided into groups A (26 patients without preserved LES) and B (25 patients with preserved LES) and compared with 22 control participants (group C). Manometric study and ambulatory 24-hour esophageal pH monitoring were performed on all patients. Symptomatic and endoscopic AREs in group A were significantly higher than those in group B (P < 0.05). The length of LES and maximum LES pressure in group A were significantly shorter and lower, respectively, than in groups B and C (P < 0.01). The length of LES and maximum LES pressure in patients with symptomatic ARE were significantly shorter and lower, respectively, than in patients without symptomatic ARE (P < 0.01). Percentages of time with pH >7 and pH >8 within 24 hours in group A were significantly higher than those in groups B and C (P < 0.01). Preservation of the LES may be necessary to prevent ARE after TGRY.

Endoscopic ultrasonographic abnormalities and lower esophageal sphincter function in reflux esophagitis

1995 ◽  
Vol 40 (3) ◽  
pp. 598-605 ◽  
Author(s):  
Osamu Kawamura ◽  
Toshikazu Sekiguchi ◽  
Motoyasu Kusano ◽  
Tsutomu Horikoshi ◽  
Kazuma Kikuchi ◽  
...  
Keyword(s):  
Lower Esophageal Sphincter ◽  
Reflux Esophagitis ◽  
Sphincter Function ◽  
Esophageal Sphincter

The minimum pressure of the lower esophageal sphincter, determined by the rapid pull-through method, is an index of severe reflux esophagitis

2004 ◽  
Vol 39 (7) ◽  
pp. 616-620 ◽  
Author(s):  
Katsuhiko Iwakiri ◽  
Yoshinori Hayashi ◽  
Makoto Kotoyori ◽  
Toshiaki Sugiura ◽  
Akihiko Kawakami ◽  
...  
Keyword(s):  
Lower Esophageal Sphincter ◽  
Reflux Esophagitis ◽  
Minimum Pressure ◽  
Esophageal Sphincter ◽  
Pull Through
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