Bipositional reflux

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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 … 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.

Gastroesophageal reflux disease (GERD) - Mayo Clinic

WebApr 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 … WebAug 1, 1999 · Patients with bipositional reflux were significantly more likely to have mucosal injury than patients with postprandial, upright, or supine reflux; 78% had … gram and kilogram calculator

The preoperative reflux pattern as prognostic indicator for long …

WebA 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 bipositional reflux. Preoperatively there were no differences in the frequency of typical or atypical symptoms between groups. 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 … 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. china on the globe map

Gastroesophageal reflux disease (GERD) - Mayo Clinic

Laparoscopic Nissen Fundoplication Ameliorates Symptoms of Reflux …

WebApr 1, 2008 · SUMMARY. The purpose of this study was to compare the outcomes of patients with different types of gastroesophageal reflux disease (upright, supine, or bipositional) after laparoscopic Nissen fundoplication and determine if patients with upright reflux have worse outcomes. Two hundred and twenty‐five patients with 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, … gram animal shelterWebAug 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 … gram and teaspoon chart

"WebJan 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. " - Bipositional reflux

Bipositional reflux

Predictive Factors of Barrett Esophagus - JAMA

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 … WebMay 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].

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WebOnly patients with complicated esophagitis have significant bipositional acid reflux. These findings suggest that unless the patient has severe reflux disease, postural measures … 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-

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. 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. …

WebMay 1, 2024 · Within patients with GERD, a severe GERD phenotype exists characterized by advanced grade esophagitis (Los Angeles grade C or D), and/or AET >12.0%, bipositional reflux or Demeester score >50, which requires either continuous long-term PPI therapy or invasive anti-reflux procedures, in addition to optimization of lifestyle measures. 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 …

WebThe 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 …

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 reflux patterns respond favorably to Nissen fundoplication in the long term. Patients with pathological bipositional reflux, however, suffer from more severe disease with ... china on west philippine seaWebSurgical 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 … graman golf shafts trimming instructionsWebMay 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 … china on the world stageWebJan 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 … gram and turWebJun 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 … china open back yoga shirt factoryWebGastrocolic 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 … gram and pulsesWebApr 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. grama one bls.com recharge