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Reflux Esophagitis

Reflux Esophagitis To the Editor.— A question headed "Alkaline Reflux Gastritis After Peptic Ulcer Surgery" (234:204, 1975) was submitted by a Florida physician. The question has to do with reflux esophagitis, presumably caused by bile. The answer by Dr Herrington, unfortunately, discusses only the entity of alkaline reflux gastritis. While this discussion is erudite, it does not answer the Florida physician's question. Esophagitis—and not gastritis—is the issue here. Attention to the lower esophageal sphincter via esophagoscopy and evaluation of esophageal motility withpH determinations in the lower esophagus are the clinical ways in which this problem should be studied. Conservative medical management would include the standard antireflux measures, such as elevation of the head of the patient's bed, small meals, avoidance of stooping and straining, and weight loss if indicated. Antacids would probably not be effective, since the problem is alkaline reflux and not acid reflux. Should the patient continue to be http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Reflux Esophagitis

JAMA , Volume 235 (11) – Mar 15, 1976

Reflux Esophagitis

Abstract



To the Editor.—
A question headed "Alkaline Reflux Gastritis After Peptic Ulcer Surgery" (234:204, 1975) was submitted by a Florida physician. The question has to do with reflux esophagitis, presumably caused by bile. The answer by Dr Herrington, unfortunately, discusses only the entity of alkaline reflux gastritis. While this discussion is erudite, it does not answer the Florida physician's question.
Esophagitis—and not gastritis—is the issue here....
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Publisher
American Medical Association
Copyright
Copyright © 1976 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1976.03260370016010
Publisher site
See Article on Publisher Site

Abstract

To the Editor.— A question headed "Alkaline Reflux Gastritis After Peptic Ulcer Surgery" (234:204, 1975) was submitted by a Florida physician. The question has to do with reflux esophagitis, presumably caused by bile. The answer by Dr Herrington, unfortunately, discusses only the entity of alkaline reflux gastritis. While this discussion is erudite, it does not answer the Florida physician's question. Esophagitis—and not gastritis—is the issue here. Attention to the lower esophageal sphincter via esophagoscopy and evaluation of esophageal motility withpH determinations in the lower esophagus are the clinical ways in which this problem should be studied. Conservative medical management would include the standard antireflux measures, such as elevation of the head of the patient's bed, small meals, avoidance of stooping and straining, and weight loss if indicated. Antacids would probably not be effective, since the problem is alkaline reflux and not acid reflux. Should the patient continue to be

Journal

JAMAAmerican Medical Association

Published: Mar 15, 1976

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