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. 1975 May;16(5):347–352. doi: 10.1136/gut.16.5.347

The effects of premedication drugs on the lower oesophageal high pressure zone and reflux status of rhesus monkeys and man.

A W Hall, A R Moossa, J Clark, G R Cooley, D B Skinner
PMCID: PMC1411060  PMID: 237803

Abstract

Thirty-five human volunteers and eight Rhesus monkeys were studied with standard gastrooesophageal manometric techniqes and their reflux status was evaluated witha pH probe placed in the lower oesophagus. morphine sulphate, pethidine hydrochloride, or idazepam was given intravenously until drowsiness was induced. The manometric and pH studies were repeated. All three drugs decreased the lower oesophageal high pressure zone and increased the probability of relux in both monkeys and man. Thes findings are relevant in the preparation of patients for surgery since gastrooesophageal reflux and pulmonary aspiration may be a problen in the pre-and postoperative phases.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Castell D. O., Harris L. D. Hormonal control of gastroesophageal-sphincter strength. N Engl J Med. 1970 Apr 16;282(16):886–889. doi: 10.1056/NEJM197004162821602. [DOI] [PubMed] [Google Scholar]
  2. Cohen S., Lipshutz W. Hormonal regulation of human lower esophageal sphincter competence: interaction of gastrin and secretin. J Clin Invest. 1971 Feb;50(2):449–454. doi: 10.1172/JCI106512. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Dennish G. W., Castell D. O. Caffeine and the lower esophageal sphincter. Am J Dig Dis. 1972 Nov;17(11):993–996. doi: 10.1007/BF02239138. [DOI] [PubMed] [Google Scholar]
  4. Dennish G. W., Castell D. O. Inhibitory effect of smoking on the lower esophageal sphincter. N Engl J Med. 1971 May 20;284(20):1136–1137. doi: 10.1056/NEJM197105202842007. [DOI] [PubMed] [Google Scholar]
  5. Dilawari J. B., Newman A., Poleo J., Misiewicz J. J. Proceedings: The effect of prostaglandins and of anti-inflammatory drugs on the oesophagus and the cardiac sphincter in man. Gut. 1973 Oct;14(10):822–822. [PubMed] [Google Scholar]
  6. Giles G. R., Mason M. C., Humphries C., Clark C. G. Action of gastrin on the lower oesophageal sphincter in man. Gut. 1969 Sep;10(9):730–734. doi: 10.1136/gut.10.9.730. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Glanville J. N., Walls W. D. Effect of intravenous metoclopramide on gastrooesophageal reflux. Gut. 1972 Jan;13(1):31–32. doi: 10.1136/gut.13.1.31. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Goyal R. K., Rattan S. Mechanism of the lower esophageal sphincter relaxation. Action of prostaglandin E 1 and theophylline. J Clin Invest. 1973 Feb;52(2):337–341. doi: 10.1172/JCI107189. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Grossman M. I. Letters: What is physiological? Gastroenterology. 1973 Dec;65(6):994–994. [PubMed] [Google Scholar]
  10. Jennewein H. M., Waldeck F., Siewert R., Weiser F., Thimm R. The interaction of glucagon and pentagastrin on the lower oesophageal sphincter in man and dog. Gut. 1973 Nov;14(11):861–864. doi: 10.1136/gut.14.11.861. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Moossa A. R., Cooley G. R., Skinner D. B. Intraluminal and intraperitoneal pressures at the cardia: effect of hormones and surgical intervention. Surg Forum. 1973;24:370–372. [PubMed] [Google Scholar]
  12. Resin H., Stern D. H., Sturdevant R. A., Isenberg J. I. Effect of the C-terminal octapeptide of cholecystokinin on lower esophageal sphincter pressure in man. Gastroenterology. 1973 May;64(5):946–949. [PubMed] [Google Scholar]
  13. Skinner D. B., Camp T. F., Jr Relation of esophageal reflux to lower esophageal sphincter pressures decreased by atropine. Gastroenterology. 1968 Apr;54(4):543–551. [PubMed] [Google Scholar]
  14. Thurer R. L., Demeester T. R., Johnson L. F. The distal esophageal sphincter and its relationship to gastroesophageal reflux. J Surg Res. 1974 Apr;16(4):418–423. doi: 10.1016/0022-4804(74)90063-8. [DOI] [PubMed] [Google Scholar]
  15. Winans C. S., Harris L. D. Quantitation of lower esophageal sphincter competence. Gastroenterology. 1967 May;52(5):773–778. [PubMed] [Google Scholar]

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