Gastroesophageal reflux disease causes: Difference between revisions

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(Created page with "__NOTOC__ {{Gastroesophageal reflux disease}} {{CMG}} ==Overview== ==References== {{reflist|2}} {{WH}} {{WS}}")
 
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{{CMG}}
{{CMG}}
==Overview==
==Overview==
==Causes==
*Hereditary sensory and autonomic neuropathy type 1B
*Systemic sclerosis
*Autonomic neuropathy
*Esophageal achalasia
*Hiatus hernia
*Pharyngeal pouch
*Another paradoxical cause of GERD-like symptoms is not enough stomach acid ([[hypochlorhydria]]). The valve that empties the stomach into the intestines is triggered by acidity. If there is not enough acid, this valve does not open and the stomach contents are churned up into the esophagus.  However, there is still enough acidity to irritate the esophagus.
*[[Hiatus hernia]], which increases the likelihood of GERD due to mechanical and motility factors<ref name="pmid17573791">{{cite journal |author=Piesman M, Hwang I, Maydonovitch C, Wong RK |title=Nocturnal reflux episodes following the administration of a standardized meal. Does timing matter? |journal=Am. J. Gastroenterol. |volume=102 |issue=10 |pages=2128-2134 |year=2007 |pmid=17573791 |doi=10.1111/j.1572-0241.2007.01348.x}}</ref>
*[[Obesity]]: increasing [[body mass index]] is associated with more severe GERD<ref name="pmid175737910">{{cite journal |author=Ayazi S, Crookes P, Peyre C, |title=Objective documentation of the link between gastroesophageal reflux disease and obesity |journal=Am. J. Gastroenterol. |volume=102 |issue=S |pages=138-139 |year=2007 }}</ref>
*[[Zollinger-Ellison syndrome]], which can be present with increased gastric acidity due to [[gastrin]] production
*[[Hypercalcemia]], which can increase [[gastrin]] production, leading to increased acidity
*[[Scleroderma]] and [[systemic sclerosis]], which can feature esophageal dysmotility
==References==
==References==
{{reflist|2}}
{{reflist|2}}
{{WH}}
{{WH}}
{{WS}}
{{WS}}

Revision as of 22:56, 30 August 2012

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Causes

  • Hereditary sensory and autonomic neuropathy type 1B
  • Systemic sclerosis
  • Autonomic neuropathy
  • Esophageal achalasia
  • Hiatus hernia
  • Pharyngeal pouch
  • Another paradoxical cause of GERD-like symptoms is not enough stomach acid (hypochlorhydria). The valve that empties the stomach into the intestines is triggered by acidity. If there is not enough acid, this valve does not open and the stomach contents are churned up into the esophagus. However, there is still enough acidity to irritate the esophagus.
  • Hiatus hernia, which increases the likelihood of GERD due to mechanical and motility factors[1]
  • Obesity: increasing body mass index is associated with more severe GERD[2]
  • Zollinger-Ellison syndrome, which can be present with increased gastric acidity due to gastrin production
  • Hypercalcemia, which can increase gastrin production, leading to increased acidity
  • Scleroderma and systemic sclerosis, which can feature esophageal dysmotility

References

  1. Piesman M, Hwang I, Maydonovitch C, Wong RK (2007). "Nocturnal reflux episodes following the administration of a standardized meal. Does timing matter?". Am. J. Gastroenterol. 102 (10): 2128–2134. doi:10.1111/j.1572-0241.2007.01348.x. PMID 17573791.
  2. Ayazi S, Crookes P, Peyre C, (2007). "Objective documentation of the link between gastroesophageal reflux disease and obesity". Am. J. Gastroenterol. 102 (S): 138–139.

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