The role of impaired esophageal and gastric motility in end-stage lung diseases and after lung transplantation

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• 作者：Piero Marco Fisichella ; Anahita Jalilv
• 关键词：Gastroesophageal reflux disease (GERD) ; Aspiration ; Lung transplantation ; Ambulatory pH monitoring ; Esophageal multichannel pH impedance ; Gastric dysmotility ; Esophageal motor dysfunction
• 刊名：Journal of Surgical Research
• 出版年：January, 2014
• 年：2014
• 卷：186
• 期：1
• 页码：201-206
• 全文大小：2207 K

文摘

Today, many questions persist regarding the causal relationship of gastroesophageal reflux disease (GERD) to promote aspiration and its potential to induce both pulmonary and allograft failure. Current hypotheses, which have identified GERD as a nonimmune risk factor in inducing pulmonary and allograft failure, center on the role of GERD-induced aspiration of gastroduodenal contents. Risk factors of GERD, such as impaired esophageal and gastric motility, may indirectly play a role in the aspiration process. In fact, although impaired esophageal and gastric motility is not independently a cause of lung deterioration or allograft failure, they may cause and or exacerbate GERD. This report seeks to review present research on impaired esophageal and gastric motility in end-stage lung disease to characterize prevalence, etiology, pathophysiology, and current treatment options within this special patient population.