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. 1979 Jan;20(1):59–63. doi: 10.1136/gut.20.1.59

On the relationship between gastric pH and pressure in the normal human lower oesophageal sphincter.

M D Kaye
PMCID: PMC1418956  PMID: 33104

Abstract

The effect upon the lower oesophageal sphincter (LOS) of acid in the proximal stomach was investigated in 12 young healthy subjects. The cardia was perfused in turn with solutions at pH 7, 4, 3, 2, and 1, during successive withdrawals of three perfused pressure-recording catheters, openings of which were at the same axial level. Although there was considerable individual variation, there was a direct and significant relationship between LOW pressure and the acidity of the solution perfused. The results suggest that resting LOS pressure and the acidity of the solution perfused. The results suggest that resting LOS pressure may be determined in part by the pH of the gastric content.

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Selected References

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

  1. CLARK C. G., VANE J. R. The cardiac sphincter in the cat. Gut. 1961 Sep;2:252–262. doi: 10.1136/gut.2.3.252. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. 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]
  3. Castell D. O., Levine S. M. Lower esophageal sphincter response to gastric alkalinization. A new mechanism for treatment of heartburn with antacids. Ann Intern Med. 1971 Feb;74(2):223–227. doi: 10.7326/0003-4819-74-2-223. [DOI] [PubMed] [Google Scholar]
  4. 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]
  5. GROSSMAN M. I. Secretion of acid and pepsin in response to distention of vagally innervated fundic gland area in dogs. Gastroenterology. 1962 Jun;42:718–721. [PubMed] [Google Scholar]
  6. GROSSMAN M. I. Stimulation of secretion of acid by distention of denervated fundic pouches in dogs. Gastroenterology. 1961 Oct;41:385–390. [PubMed] [Google Scholar]
  7. GROSSMAN M. I. The pyloric gland area of the stomach: a brief survey. Gastroenterology. 1960 Jan;38:1–6. [PubMed] [Google Scholar]
  8. Giles G. R., Humphries C., Mason M. C., Clark C. G. Effect of pH changes on the cardiac sphincter. Gut. 1969 Oct;10(10):852–856. doi: 10.1136/gut.10.10.852. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. 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]
  10. Kaye M. D., Showalter J. P. Manometric configuration of the lower esophageal sphincter in normal human subjects. Gastroenterology. 1971 Aug;61(2):213–223. [PubMed] [Google Scholar]
  11. Pope C. E., 2nd A dynamic test of sphincter strength: its application to the lower esophageal sphincter. Gastroenterology. 1967 May;52(5):779–786. [PubMed] [Google Scholar]
  12. ROBSON J. G., WELT P. Regurgitation in anaesthesia: a report on some exploratory work with animals. Can Anaesth Soc J. 1959 Jan;6(1):4–12. doi: 10.1007/BF03014190. [DOI] [PubMed] [Google Scholar]
  13. Titchen D. A., Wheeler J. S. Contractions of the caudal region of the oesophagus of the cat. J Physiol. 1971 May;215(1):119–137. doi: 10.1113/jphysiol.1971.sp009461. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. 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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