Electronic Resource
Springer
Digestive diseases and sciences
16 (1971), S. 577-588
ISSN:
1573-2568
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract Multiple measurements of gastroesophageal reflux and esophageal motility were performed in a group of 23 patients consisting of 5 normals, 7 patients with an organic pattern of pyrosis and 11 patients with a functional pattern of pyrosis. Reflux was demonstrated in none of the normals, in all 7 of the organic group, and in 7 of the 11 functional patients. Perfusion of various solutions produced pyrosis as readily in the functional patients (83%) as in the organic group (85%). Motility changes with the appearance of pyrosis was noted as frequently in the functional group (66%) as in the organic group (76%). It is concluded that pyrosis is produced in the functional patient by a mechanism similar to that in the organic group. Neither reflux and/or motility change could account for pyrosis in every instance. The differential diagnosis of pyrosis in the functional patient versus pyrosis associated with organic diseases cannot be made by current parameters of evaluation. This suggests that other factors not measured by present technics are also necessary for the ultimate production of this symptom.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF02239216
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