Incompetent lower esophageal sphincter and gastroesophageal reflux in recurrent acute pulmonary disease of infancy and childhood - 07/10/17
Abstract |
Fifteen patients with recurrent acute respiratory symptoms were evaluated for gastroesophageal reflux. All 15 had barium esophagrams. Ten of 15 had acid reflux tests performed and lower esophageal sphincter pressures measured. The data were compared to those in 23 patients with no acid reflux and 23 patients with positive acid reflux but no respiratory symptoms. Ten of ten patients with respiratory symptoms who were evaluated by the acid reflux test had positive results. The remaining five demonstrated GER by barium esophagram. LES pressure measurements in the ten patients were 11.3±1.5 mm Hg, which was significantly lower than the pressures in the acid reflux-negative group (20.3±1.3 mm Hg, P<0.001) but not different than in the patients with GER but no respiratory symptoms (13.9±1.5 mm Hg, P<0.05). GER secondary to an incompetents lower esophageal sphincter may be one cause of recurrent acute respiratory disease in infants and children.
Le texte complet de cet article est disponible en PDF.† | Supported by a National March of Dimes Medical Service Grant (No. C-112) |
Vol 93 - N° 1
P. 23-27 - juillet 1978 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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