Pepsin concentration in oral lavage fluid of rabbit reflux model constructed by dilating the lower esophageal sphincter

Author:

Sun Zhezhe1,Wu Wei1,Wang Gang1,Li Lianyong2,Wang Lei1,Liu Hongdan1

Affiliation:

1. Otolaryngology Head and Neck Surgery Department, Strategic Support Force Medical Center , Beijing , 100101 , China

2. Gastroenterology Department, Strategic Support Force Medical Center , Beijing , 100101 , China

Abstract

Abstract The aim of this study was to explore the changes in pH and pepsin concentrations in oral lavage fluid of rabbit reflux model. A total of 18 New Zealand rabbits were randomly divided into two groups. The lower esophageal sphincters (LESs) of the rabbits in the experimental group (EG) were dilated by balloon after the LESs were localized by manometry. The pH levels of the throat and the lower esophagus were monitored 1 week before and 2 weeks after inflation. Oral lavage fluid was collected 1 week before, and 2 and 8 weeks after inflation. The pH monitoring showed that the percentage of reflux time, the number of reflux events, and the longest time of reflux after the dilation (AE) in the EG were significantly higher than before the dilation (P < 0.01). The pepsin concentrations at 2 and 8 weeks AE in the EG were significantly higher than that before and that in the control group (P < 0.05). Based on receiver operating characteristic curve analysis, the best diagnostic threshold value was 30.3 ng/ml. The reflux model constructed by balloon inflation of the LES in rabbits is characterized by a decrease in throat pH and an increase in salivary pepsin concentration.

Publisher

Walter de Gruyter GmbH

Subject

General Medicine

Reference20 articles.

1. Koufman JA, Aviv JE, Casiano RR, Shaw GY. Laryngopharyngeal reflux: position statement of the committee on speech, voice, and swallowing disorders of the American Academy of Otolaryngology-Head and Neck Surgery. Otolaryngol Head Neck Surg. Jul 2002;127(1):32–5. 10.1067/mhn.2002.125760.

2. Xiao S, Li J, Zheng H, Yan Y, Li X, Zhang L, et al. An epidemiological survey of laryngopharyngeal reflux disease at the otorhinolaryngology-head and neck surgery clinics in China. Eur Arch Otorhinolaryngol. 2020;277(10):2829–38. 10.1007/s00405-020-06045-0.

3. Asaoka D, Nagahara A, Matsumoto K, Hojo M, Watanabe S. Current perspectives on reflux laryngitis. Clin J Gastroenterol. Dec 2014;7(6):471–5. 10.1007/s12328-014-0535-x.

4. Hu Y, Xu X, Xu L, Lai C, Zhang T. Dilated intercellular space in the larynx and esophagus of a rabbit reflux model. Auris Nasus Larynx. Aug 2013;40(4):379–82. 10.1016/j.anl.2012.09.010.

5. Cao J, Zhang LH, Wang WL, Wang YG, Li CF, Zhao YX, et al. Establishment and research of a New Zealand rabbit model of laryngopharyngeal reflux. Zhonghua er bi yan hou tou jing wai ke za zhi = Chin J Otorhinolaryngology Head Neck Surg. Dec 2019;54(12):912–8. 10.3760/cma.j.issn.1673-0860.2019.12.006.

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3