Concomitant Duodenogastric and Gastroesophageal Reflux: The Role of Twenty-Four-Hour Gastric pH Monitoring

  • K. H. Fuchs
  • T. R. DeMeester
  • W. Schwizer
  • M. Albertucci
Conference paper

Abstract

Duodenogastric reflux can occur in patients with gastroesophageal reflux disease (Pellegrini et al. 1978; Little et al. 1984; DeMeester 1985a). Its presence is suggested symptomatically by epigastric pain, nausea, and vomiting in addition to heartburn and regurgitation; endoscopically by a large bile lake or evidence of gastritis; and functionally by a normal 24-h esophageal pH monitoring test in a patient with a mechanically defective lower esophageal sphincter (LES), i.e., LES pressure less than 6 mmHg, LES overall length 2 cm or less, and LES intraabdominal length 1 cm or less (Toye and Williams 1965; Ritchie 1984; DeMeester 1985 b).

Keywords

Kelly Gastritis Esophagitis 

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References

  1. DeMeester TR (1985 a) Limitations of 24-hour pH monitoring. In: DeMeester TR, Skinner DB (eds) Esophageal disorders. Raven, New York, pp 109–117Google Scholar
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Copyright information

© Springer-Verlag 1988

Authors and Affiliations

  • K. H. Fuchs
    • 1
  • T. R. DeMeester
    • 1
  • W. Schwizer
    • 1
  • M. Albertucci
    • 1
  1. 1.Department of SurgeryCreighton University School of MedicineOmahaUSA

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