Effect of severe gastroesophageal reflux on sleep stage in patients with aperistaltic esophagus

Digestive Diseases and Sciences
J P ShoenutM H Kryger

Abstract

Polysomnography and esophageal pH studies were conducted in 13 patients with an aperistaltic esophagus; seven of these had scleroderma and six were patients treated for achalasia. The percentage total time of pH<4.0 when recumbent exceeded 30% for both groups. There was a total of 51 reflux events for both groups. There were 22 reflux events recorded for both groups that were less than 5 min in length and 29 events greater than 5 min. In 26 of 32 (81%) instances, patients either began awake and went to sleep during a reflux event or did not awake during a reflux event. Only six of 32 (19%) reflux events caused sleep disruption. We conclude that even the severe reflux demonstrated in this subset of patients does not always disrupt sleep. Patients may have severe prolonged reflux and not arouse.

References

Oct 1, 1976·Annals of Surgery·T R DemeesterD B Skinner
Mar 1, 1988·The Annals of Thoracic Surgery·J P ShoenutJ M Teskey
May 1, 1987·The Annals of Thoracic Surgery·D ThomsonJ M Teskey
May 1, 1981·Digestive Diseases and Sciences·W C OrrL F Johnson
Jan 1, 1995·Journal of Clinical Gastroenterology·J P ShoenutJ M Teskey

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Citations

Jan 20, 2005·American Journal of Respiratory and Critical Care Medicine·Shahrokh JavaheriCharles L Mendenhall
Oct 22, 2005·American Journal of Respiratory and Critical Care Medicine·Shahrokh Javaheri
May 17, 2005·Clinics in Sports Medicine·Damien LegerDominique Choudat
Dec 6, 2019·Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology·Shobna J BhatiaRajkumar T Wadhwa

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