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Effects of anti-reflux surgery on weakly acidic reflux and belching.

Authors
  • Broeders, J A J L
  • Bredenoord, A J
  • Hazebroek, E J
  • Broeders, I A M J
  • Gooszen, H G
  • Smout, A J P M
Type
Published Article
Journal
Gut
Publisher
BMJ
Publication Date
Apr 01, 2011
Volume
60
Issue
4
Pages
435–441
Identifiers
DOI: 10.1136/gut.2010.224824
PMID: 21193452
Source
Medline
License
Unknown

Abstract

LNF similarly controls acid and weakly acidic reflux, but gas reflux is reduced to lesser extent. Persistent reflux symptoms are neither caused by acid nor by weakly acidic reflux. LNF alters the belching pattern by reducing GBs (air venting from stomach) and increasing SGBs (no air venting from stomach). This explains the increase in belching experienced by some patients after LNF, despite the reduction in gastric belching. It can be hypothesised that the reduction in GBs after LNF incites patients to increase SGBs in a futile attempt to vent air from the stomach.

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