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反流性食管炎治疗后食管运动功能障碍的改善:两例报告

Improvement in esophageal motor dysfunction with treatment of reflux esophagitis: a report of two cases.

作者信息

Marshall J B, Gerhardt D C

出版信息

Am J Gastroenterol. 1982 Jun;77(6):351-4.

PMID:7091117
Abstract

We report two patients with reflux esophagitis who had decreased lower esophageal sphincter pressures and marked decreased frequency of peristaltic response to swallowing and peristaltic amplitude on pretreatment esophageal motility tracings. Both patients responded to medical therapy of reflux esophagitis with symptomatic clinical improvement, increased lower esophageal sphincter pressures, and increased frequency of peristaltic propagation and amplitude of peristalsis. Measures to treat reflux esophagitis may be effective in some cases, in part, because they permit healing of esophageal inflammation to improve esophageal motor activity, the latter which results in improvement of esophageal acid clearing.

摘要

我们报告了两名反流性食管炎患者,他们在治疗前的食管动力描记图上显示食管下括约肌压力降低,对吞咽的蠕动反应频率显著降低,蠕动幅度减小。两名患者接受反流性食管炎药物治疗后,临床症状均有改善,食管下括约肌压力增加,蠕动传播频率和蠕动幅度也增加。治疗反流性食管炎的措施在某些情况下可能有效,部分原因是它们能使食管炎症愈合,从而改善食管运动功能,进而提高食管酸清除能力。

相似文献

1
Improvement in esophageal motor dysfunction with treatment of reflux esophagitis: a report of two cases.反流性食管炎治疗后食管运动功能障碍的改善:两例报告
Am J Gastroenterol. 1982 Jun;77(6):351-4.
2
Esophageal motility in low-grade reflux esophagitis, evaluated by stationary and 24-hour ambulatory manometry.通过静态和24小时动态测压评估轻度反流性食管炎患者的食管动力。
Am J Gastroenterol. 1993 Jun;88(6):837-41.
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Nonobstructive dysphagia in reflux esophagitis.反流性食管炎中的非梗阻性吞咽困难。
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Abnormal esophageal pressures in reflux esophagitis: cause or effect?反流性食管炎中食管压力异常:是原因还是结果?
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Esophageal motor dysfunction and acid exposure in reflux esophagitis are more severe if Barrett's metaplasia is present.如果存在巴雷特化生,反流性食管炎中的食管运动功能障碍和酸暴露会更严重。
Am J Gastroenterol. 1994 Mar;89(3):349-56.
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Medical and surgical management of reflux esophagitis. A 38-month report of a prospective clinical trial.
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The effect of floppy Nissen fundoplication on esophageal and gastric motility in gastroesophageal reflux.松弛性nissen胃底折叠术对胃食管反流中食管和胃动力的影响
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[Motor disorders of the esophagus in gastro-esophageal reflux disease].
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引用本文的文献

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Comparison of esophageal motility in patients with solid dysphagia and mixed dysphagia.
Dysphagia. 2005 Fall;20(4):261-5. doi: 10.1007/s00455-005-0022-0.
2
Ineffective esophageal motility (IEM): the primary finding in patients with nonspecific esophageal motility disorder.食管动力障碍(IEM):非特异性食管动力障碍患者的主要表现。
Dig Dis Sci. 1997 Sep;42(9):1859-65. doi: 10.1023/a:1018802908358.
3
Effects of omeprazole on mechanisms of gastroesophageal reflux in childhood.奥美拉唑对儿童胃食管反流机制的影响。
Dig Dis Sci. 1997 Feb;42(2):293-9. doi: 10.1023/a:1018853516206.
4
Oesophageal motor response to reflux is not impaired in reflux oesophagitis.反流性食管炎患者食管对反流的运动反应未受损。
Gut. 1993 Mar;34(3):317-20. doi: 10.1136/gut.34.3.317.
5
Macroscopic healing of esophagitis does not improve esophageal motility.食管炎的宏观愈合并不能改善食管动力。
Dig Dis Sci. 1994 Mar;39(3):648-54. doi: 10.1007/BF02088355.