Evaluation of antireflux surgery using multichannel intraluminal impedance-pH measurement in neurologically impaired patients

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DOI[info:doi/10.1007/s00383-015-3768-y]to the data of the same series

Evaluation of antireflux surgery using multichannel intraluminal impedance-pH measurement in neurologically impaired patients

Persistent ID (NDL): info:ndljp/pid/10958782

Material type: 博士論文

Author: 田中, 彩

Publisher: -

Publication date: 2016-12-21

Material Format: Digital

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Name of awarding university/degree: 香川大学,博士（医学）

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Note (General)：: PurposeThis study aimed to evaluate esophageal function before and after antireflux surgery (ARS) in neurologically impaired (NI) patients using 24 h ...

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Material Type: 博士論文
Title: Evaluation of antireflux surgery using multichannel intraluminal impedance-pH measurement in neurologically impaired patients
Author/Editor: 田中, 彩
Author Heading: 田中, 彩
Publication Date: 2016-12-21
Publication Date (W3CDTF): 2016-12-21
Degree grantor/type: 香川大学
Date Granted: 2016-12-21
Date Granted (W3CDTF): 2016-12-21
Dissertation Number: 乙第278号
Degree Type: 博士（医学）
Conferring No. (Dissertation): 乙第278号
Text Language Code: eng
Alias of Author: Tanaka, Aya
Subject Heading: Multichannel intraluminal impedance-pH measurement
Gastro-esophageal reflux
Neurologically impaired patients
Antireflux surgery
Esophageal motility
Target Audience: 一般
Note (General): PurposeThis study aimed to evaluate esophageal function before and after antireflux surgery (ARS) in neurologically impaired (NI) patients using 24 h multichannel intraluminal impedance (MII)-pH measurement.
MethodsSeven NI patients (age, 0–33 years; median, 13 years) were assessed before and after ARS using 24 h MII-pH. We described reflux parameters such as pH reflux index, bolus exposure index, number of acidic and nonacidic reflux episodes, mean acid clearance time and median bolus clearance time, and esophageal motility parameters in dry swallows such as bolus presence time (BPT), total bolus transit time (TBTT), and total propagation velocity (TPV).
ResultsThe postoperative reflux parameters such as pH reflux index, acid clearance time, bolus exposure index, and the number of acidic reflux episodes significantly decreased (P < 0.05) compared with the preoperative ones. The esophageal motility parameters including all sites of BPTs, TBTT, and TPV did not change in the MII-pH measurement after ARS (P = non-significant).
ConclusionARS effectively reduced gastro-esophageal reflux (GER) in NI patients without the impairment of esophageal motility by MII-pH measurement. MII-pH was useful to detect the subtype of GER before and after ARS and appeared to be appropriate for evaluating esophageal motility.
DOI: info:doi/10.1007/s00383-015-3768-y
https://doi.org/info:doi/10.1007/s00383-015-3768-y
Persistent ID (NDL): info:ndljp/pid/10958782
https://dl.ndl.go.jp/pid/10958782
Collection (particular): 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文
https://dl.ndl.go.jp/collections/A00014
Acquisition Basis: 博士論文（自動収集）
Date Accepted (W3CDTF): 2017-10-02T17:34:20+09:00
Date Created (W3CDTF): 2020-10-27
Format (IMT): PDF
Access Restrictions: 国立国会図書館内限定公開
Service for the Digitized Contents Transmission Service: 図書館・個人送信対象外
Availability of remote photoduplication service: 可
Periodical Title (URI): https://kagawa-u.repo.nii.ac.jp/records/288
Data Provider (Database): 国立国会図書館 : 国立国会図書館デジタルコレクション
https://dl.ndl.go.jp