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Correlación entre síntomas de reflujo gastroesofágico y resultados de la pHmetría de 24 horas en pacientes con estudio endoscópico normal o levemente alterado / Relationship between gastroesophageal reflux symptoms and 24 h esophageal pH measurement in patients with normal or minimally abnormal upper endoscopies
Csendes J, Attila; Rencoret P, Guillermo; Beltrán S, Marcelo; Smok S, Gladys; Henríquez D, Ana.
Afiliação
  • Csendes J, Attila; Universidad de Chile. Hospital Clínico. Departamento de Cirugía. Santiago. CL
  • Rencoret P, Guillermo; Universidad de Chile. Hospital Clínico. Departamento de Cirugía. Santiago. CL
  • Beltrán S, Marcelo; Universidad de Chile. Hospital Clínico. Departamento de Cirugía. Santiago. CL
  • Smok S, Gladys; Universidad de Chile. Hospital Clínico. Departamento Anatomía Patológica. Santiago. CL
  • Henríquez D, Ana; Universidad de Chile. Hospital Clínico. Santiago. CL
Rev. méd. Chile ; 132(1): 19-25, ene. 2004. tab
Artigo em Espanhol | LILACS | ID: lil-359174
Biblioteca responsável: CL12.1
RESUMO

Background:

Heartburn and regurgitation are considered highly specific symptoms of gastroesophageal reflux. A considerable number of patients with these symptoms do not have endoscopic signs of esophagitis.

Aim:

To study the relationship between gastroesophageal reflux symptoms and 24 h esophageal pH mesurement in patients with normal or near normal endoscopic findings. Patients and

methods:

One hundred eighty six patients with persistent reflux symptoms and absence of severe endoscopic esophagitis were studied. Pathological studies of esophageal biopsies, manometry and 24 h esophageal pH measurements were performed in all.

Results:

Abnormal acid reflux was found in 131 patients (70 percent). No differences in the frequency of symptoms, gender or pathologic findings were observed between patients with or without abnormal acid reflux. However, a higher frequency of esophageal erosions and a lower resting pressure of the inferior sphincter of the esophagus was observed in patients with abnormal acid reflux.

Conclusions:

Thirty percent of patients with heartburn and regurgitation did not have abnormal acid reflux. Therefore, these symptoms are not specific for gastroesophageal reflux (Rev Méd Chile 2004; 132 19-25).
Assuntos
Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: LILACS Assunto principal: Refluxo Gastroesofágico Limite: Humanos Idioma: Espanhol Revista: Rev. méd. Chile Assunto da revista: Medicina Ano de publicação: 2004 Tipo de documento: Artigo País de afiliação: Chile Instituição/País de afiliação: Universidad de Chile/CL

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Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: LILACS Assunto principal: Refluxo Gastroesofágico Limite: Humanos Idioma: Espanhol Revista: Rev. méd. Chile Assunto da revista: Medicina Ano de publicação: 2004 Tipo de documento: Artigo País de afiliação: Chile Instituição/País de afiliação: Universidad de Chile/CL
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