scholarly journals Role of Bile Reflux in Functional Dyspepsia: Areas That Need Further Research

2021 ◽  
Vol 27 (3) ◽  
pp. 310-311
Author(s):  
Seung Joo Kang
Keyword(s):  
Functional Dyspepsia ◽  
Bile Reflux

Beaumont's Contribution to Gastric Psychophysiology: A Reappraisal

1988 ◽  
Vol 33 (7) ◽  
pp. 650-653 ◽  
Author(s):  
François M. Mai
Keyword(s):  
Gastric Emptying ◽  
Delayed Gastric Emptying ◽  
Bile Reflux ◽  
Emotional Arousal ◽  
Gastric Fistula ◽  
Physiological Changes ◽  
Digestive Process ◽  
Psychophysiological Research ◽  
Series Of Experiments

William Beaumont's monograph on the physiology of digestion which was first published in 1833, has become a classic in its field. In a series of experiments over a 10 year period on Alexis St. Martin, a 19 year old Canadian voyageur with a traumatic gastric fistula, Beaumont was the first to describe many important aspects of the digestive process. In two of the 238 experiments Beaumont noted gastric physiological changes induced by emotional arousal, these being bile reflux and delayed gastric emptying. Elsewhere in the book, but not in experimental context, Beaumont referred to non-specific changes in coloration and secretion of the mucous membrane induced by emotion. Modern gastric psychophysiological research has shown that emotional arousal increases, and withdrawal decreases, gastric acid secretion. It has also been shown conclusively that emotion can cause a reflux of bile into the stomach and it may delay gastric emptying. Although the main thrust of Beaumont's work was physiological, he must be credited with being the first investigator to draw attention to the role of emotional arousal in the digestive process.

scholarly journals Duodenal Dysbiosis and Relation to the Efficacy of Proton Pump Inhibitors in Functional Dyspepsia

2021 ◽  
Vol 22 (24) ◽  
pp. 13609
Author(s):  
Lucas Wauters ◽  
Raúl Y. Tito ◽  
Matthias Ceulemans ◽  
Maarten Lambaerts ◽  
Alison Accarie ◽  
...  
Keyword(s):  
Functional Dyspepsia ◽  
Proton Pump Inhibitors ◽  
Proton Pump ◽  
Potential Role ◽  
Short Term ◽  
Beneficial Effects ◽  
Rrna Sequencing ◽  
Before And After

Proton pump inhibitors (PPI) may improve symptoms in functional dyspepsia (FD) through duodenal eosinophil-reducing effects. However, the contribution of the microbiome to FD symptoms and its interaction with PPI remains elusive. Aseptic duodenal brushings and biopsies were performed before and after PPI intake (4 weeks Pantoprazole 40 mg daily, FD-starters and controls) or withdrawal (2 months, FD-stoppers) for 16S-rRNA sequencing. Between- and within-group changes in genera or diversity and associations with symptoms or duodenal factors were analyzed. In total, 30 controls, 28 FD-starters and 19 FD-stoppers were followed. Mucus-associated Porphyromonas was lower in FD-starters vs. controls and correlated with symptoms in FD and duodenal eosinophils in both groups, while Streptococcus correlated with eosinophils in controls. Although clinical and eosinophil-reducing effects of PPI therapy were unrelated to microbiota changes in FD-starters, increased Streptococcus was associated with duodenal PPI effects in controls and remained higher despite withdrawal of long-term PPI therapy in FD-stoppers. Thus, duodenal microbiome analysis demonstrated differential mucus-associated genera, with a potential role of Porphyromonas in FD pathophysiology. While beneficial effects of short-term PPI therapy were not associated with microbial changes in FD-starters, increased Streptococcus and its association with PPIeffects in controls suggest a role for duodenal dysbiosis after long-term PPI therapy.

scholarly journals The Role of GI Peptides in Functional Dyspepsia and Gastroparesis: A Systematic Review

2020 ◽  
Vol 11 ◽  
Author(s):  
Karen Van den Houte ◽  
Emidio Scarpellini ◽  
Wout Verbeure ◽  
Hideki Mori ◽  
Jolien Schol ◽  
...  
Keyword(s):  
Systematic Review ◽  
Functional Dyspepsia

Role of acid and bile reflux in development of specialised intestinal metaplasia in distal oesophagus

2002 ◽  
Vol 34 (4) ◽  
pp. 251-257 ◽  
Author(s):  
G. Zaninotto ◽  
G. Portale ◽  
A. Parenti ◽  
C. Lanza ◽  
M. Costantini ◽  
...  
Keyword(s):  
Intestinal Metaplasia ◽  
Bile Reflux ◽  
Distal Oesophagus
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