GASTRIC ASTHMA - NO CHANGE IN RESPIRATORY IMPEDANCE DURING INTRAESOPHAGEAL ACIDIFICATION IN ADULT ASTHMATICS

被引:25
作者
WESSELING, G [1 ]
BRUMMER, RJ [1 ]
WOUTERS, EFM [1 ]
TENVELDE, GPM [1 ]
机构
[1] UNIV LIMBURG HOSP, DEPT GASTROENTEROL HEPATOL, MAASTRICHT, NETHERLANDS
关键词
D O I
10.1378/chest.104.6.1733
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Background: In patients with asthma, gastroesophageal reflux (GER) has been shown to be a common finding, and a number of investigators have suggested that reflux may have a deleterious effect in athma, either as a result of recurrent (micro)aspiration or by some form of a reflex mechanism. Aim of the Study: To measure changes in lung function in response to intraesophageal acid perfusion in asthmatics with GER. Methods: In 12 patients with bronchial asthma and complaints suggesting GER with increased reflux scores during 24-h intraesophageal pH monitoring, impedance measurements of the respiratory system using the technique of forced oscillations and spirometry were performed after intraesophageal acidification. Results: No statistically significant changes in FEV1 or in respiratory impedance were demonstrated after intraesophageal acid provocation. Conclusion: No direct effect of intraesophageal acidification on bronchomotor tone was demonstrated in asthmatics with GER.
引用
收藏
页码:1733 / 1736
页数:4
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