STRESS AND GASTROESOPHAGEAL REFLUX DISEASE
Journal Title: Праці Наукового товариства ім. Шевченка - Year 2018, Vol 52, Issue 2
Abstract
Gastroesophageal reflux disease (GERD) is one of the commonest conditions managed by clinicians. Regurgitation and heartburn are considered the cardinal symptoms of GERD. In recent decades, an increasing association has been noted between stress and GERD and our knowledge about the pathophysiology of this relationship is constantly evolving. Both acute and chronic stress can accentuate GERD related symptoms. Subjects exposed to chronic life stressors are more likely to complaint of GERD symptoms. Current data suggests that acute stress exacerbates GERD symptoms by enhancing the perceptual responses to intra-esophageal acid stimulivia central mechanisms without increasing the amount of acid reflux. This process is likely mediated by an increase in esophageal mucosal permeability. Treatment with proton pump inhibitors attenuates the effect of acute stress on esophageal perception thresholds for pain. However, the effect of anti-reflux therapy in patients experiencing chronic stress remains to be elucidated.
Authors and Affiliations
Dalbir S Sandhu, Ronnie Fass
Keywords
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- EP ID EP494983
- DOI 10.25040/ntsh2018.02.010
- Views 75
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