بسم الله الرحمن الرحيم. Gastro-esophageal Reflux In Obstructive Sleep Apnea. By. Ahmad Younis Professor of Thoracic Medicine Mansoura Faculty of Medicine. Gastroesophageal reflux disease (GERD ).
Professor of Thoracic Medicine
Mansoura Faculty of Medicine
A condition in which the stomach contents (food or liquid) leak backwards from the stomach into the esophagus.
This action can irritate the esophagus, causing heartburn and other symptoms.
Once food is in the stomach, a ring of muscle fibers prevents food from moving backward into the esophagus. These muscle fibers are called the lower esophageal sphincter.
If this sphincter muscle doesn't close well, food, liquid, and stomach acid can leak back into the esophagus.
Not only can stomach acid in the esophagus cause heartburn, but it can also cause ulcers, strictures of the esophagus, hoarseness, chronic pulmonary disease,and Barrett's esophagus(a change in the lining of the esophagus that increases the risk of developing cancer of the esophagus).
was to assess the frequency of GERD in patient with OSAS and to assess the relationship of severity of GERD to the severity of OSAS.
Patients and methods: This study included 30 OSAS patients and 20 controls. The patients and controls were subjected to the following. thorough history taking, with stress on symptoms of GERD, symptoms of OSAS, clinical examination, chest x-ray and full-night polysomnography and 24 hour pH monitoring..
Table (8): Correlation of severity of OSAS, severity of arousal index and severity of percentage total sleep time SaO2 < 90% to severity of GERD
Conclusion: We can conclude from this study that GERD occur more common in OSAS patients as compared to controls (40% versus 10%) . There were significantly positive correlation between arousal index and hypoxemic index with severity of GERD (DeMeesre score ) while no correlation exist between severity of OSAS (AHI) and severity of GERD (DeMeesre score ).
” وكان حقا علينا نصر المؤمنين “