Bipositional reflux

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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 … 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 …

Gastroesophageal reflux disease (GERD) - Mayo Clinic

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 … WebOct 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 … smallest power bank portable charger

Gastrocolic Reflex, IBS, and Increased Bowel Movements - Verywell …

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 ... 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. 10.7 and 7.5%; P<0.001 and P ... 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. song of carolina wren

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Upright, supine, or bipositional reflux: Patterns of reflux do not ...

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. 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- song of chinaWebApr 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 … smallest power bank for iphone

"WebThe prevalence of bipositional reflux also increased progressively from patients without BE to those with SSBE and LSBE. Lastly, while bile exposure in the distal esophagus was similar in patients with SSBE and LSBE, it was significantly higher in both groups compared with patients without BE. " - Bipositional reflux

Bipositional reflux

Postoperative Objective Outcomes for Upright, Supine, …

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. 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.

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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 … 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.

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 … 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 …

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 … WebNov 4, 2004 · However, with more advanced reflux disease, as seen with supine or bipositional reflux, the LES may become chronically incompetent with impaired oesophageal clearance, leading to increased mucosal injury. 92. Finally, nocturnal GERD is a period of increased risk for proximal migration of refluxed gastric contents, ...

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 …

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 … song of christmas song of cidWebRecently, 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 … song of consecration lyricsWebApr 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. smallest power bank ukWebNov 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. smallest powered tabletop rca speakersWebMay 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. song of christmas songWebLaparoscopic nissen fundoplication ameliorates symptoms of reflux, especially for patients with very abnormal DeMeester scores ... Upright, supine, or bipositional reflux: patterns of reflux do ... smallest powered speakers