Effect of tense ascites on esophageal body motility and lower esophageal sphincter pressure.

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dc.contributor.authorBhatia, S Jen_US
dc.contributor.authorNarawane, N Men_US
dc.contributor.authorShalia, K Ken_US
dc.contributor.authorMistry, F Pen_US
dc.contributor.authorSheth, M Den_US
dc.contributor.authorAbraham, Pen_US
dc.contributor.authorDherai, A Jen_US
dc.date.accessioned1999-04-13en_US
dc.date.accessioned2009-05-29T03:37:39Z
dc.date.available1999-04-13en_US
dc.date.available2009-05-29T03:37:39Z
dc.date.issued1999-04-13en_US
dc.description.abstractBACKGROUND: Esophageal motility and lower esophageal sphincter (LES) pressure change with rapid changes in intraabdominal pressure (IAP); the response of these to slow change in IAP is not known. AIMS: To study esophageal body motility and LES pressures in patients with cirrhosis with tense ascites in the basal state and after paracentesis. METHODS: Twenty four patients with cirrhosis of liver and tense ascites and 13 with cirrhosis without ascites (controls) were studied. Basal intragastric (IGP) and LES pressures, and esophageal body response to water swallows, were recorded using a water perfusion system; IAP was measured in patients with ascites. In patients with ascites, the study was repeated twice: after paracentesis of two liters of fluid and after adequate control of ascites. RESULTS: Basal IGP (p = 0.002) and duration of esophageal contraction (p = 0.01) were lower in controls, but basal LES pressures were similar in the two groups. After control of ascites, IAP (p = 0.02) and IGP (p = 0.005) decreased; amplitude and duration of distal esophageal contraction decreased (p < 0.05). The frequency of high-amplitude waves also decreased (p = 0.04). LES pressure remained unaltered. CONCLUSIONS: Esophageal contraction duration is increased in the presence of ascites, and decreases after control of ascites; LES pressure is not affected by ascites.en_US
dc.description.affiliationDepartment of Gastroenterology, King Edward Memorial Hospital, Mumbai.en_US
dc.identifier.citationBhatia SJ, Narawane NM, Shalia KK, Mistry FP, Sheth MD, Abraham P, Dherai AJ. Effect of tense ascites on esophageal body motility and lower esophageal sphincter pressure. Indian Journal of Gastroenterology. 1999 Apr-Jun; 18(2): 63-5en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/65561
dc.language.isoengen_US
dc.source.urihttps://www.indianjgastro.comen_US
dc.subject.meshAscites --physiopathologyen_US
dc.subject.meshCase-Control Studiesen_US
dc.subject.meshEsophagogastric Junction --physiopathologyen_US
dc.subject.meshEsophagus --physiopathologyen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshLiver Cirrhosis --physiopathologyen_US
dc.subject.meshMaleen_US
dc.subject.meshManometryen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshParacentesisen_US
dc.subject.meshPeristalsisen_US
dc.subject.meshPressureen_US
dc.subject.meshProspective Studiesen_US
dc.titleEffect of tense ascites on esophageal body motility and lower esophageal sphincter pressure.en_US
dc.typeJournal Articleen_US
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