Bile reflux gastritis (BRG) is a gastro-intestinal condition especially characterized by the reflux of bile into the stomach, further leading to mucosal inflammation along with various other clinical manifestations. D...Bile reflux gastritis (BRG) is a gastro-intestinal condition especially characterized by the reflux of bile into the stomach, further leading to mucosal inflammation along with various other clinical manifestations. Despite its increasing recognition, BRG remains understudied, with limited understanding of its epidemiology, pathophysiology, and optimal therapeutic strategies. Present narrative review aimed to comprehensively examine the available literature on BRG, focusing on its prevalence, risk factors, pathophysiology, clinical presentation, diagnostic modalities, and available therapeutic strategies. A comprehensive literature search was conducted using PubMed, Embase, Google Scholar and Cochrane databases. Relevant studies were included based on predefined inclusion and exclusion criteria. A narrative synthesis was conducted to summarize and interpret the findings. The prevalence of BRG remains uncertain due to diagnostic challenges. Risk factors include impaired gastrointestinal motility, sphincteric dysfunction (pyloric sphincter and the lower oesophageal sphincter), biliary tract disease, and certain medications. The pathophysiology involves bile acid-induced mucosal injury, inflammation, and impaired gastric defence mechanisms. Clinical manifestations are often nonspecific. Diagnostic modalities primarily include endoscopy and bile acid reflux testing. Management strategies encompass lifestyle modifications, medical therapy, and in severe cases, surgery. BRG is a complex condition with significant clinical implications. Further research is needed to refine diagnostic criteria, elucidate pathophysiological mechanisms, and develop effective therapeutic interventions. Addressing knowledge gaps in epidemiology, risk factors, and long-term outcomes is crucial for improving patient care.展开更多
An efficient reflux extraction of polyethylene wax(PEW) in soil is presented, followed by molecular structure characterization methods to explore its degradation mechanism. To more realistically simulate the actual de...An efficient reflux extraction of polyethylene wax(PEW) in soil is presented, followed by molecular structure characterization methods to explore its degradation mechanism. To more realistically simulate the actual degradation of PE film powders in soil, low density PE(M=5 000) powders, being used as simulated PEW residue sample, were uniformly mixed with soil and then recovered by reflux extraction with decahydronaphthalen(decalin) at 90 ?C for 60 min. The average recovery of PEW from fortified soils was 96.5% with the developed reflux extraction procedure. The recovered PEW residue samples were characterized by infrared spectroscopy(IR), element analysis(EA), X-ray fluorescence(XFR), and high-temperature gel permeation chromatography(GPC). The results from spectra analysis show that there were no significant changes in molecular structures and molecular mass distribution of PEW samples after the reflux extraction, which demonstrate the reliability of this method. These results also indicate that the reflux extraction procedure and analytical methods of characterization could serve as a novel measurement technique to evaluate the degradation of low-density PE powders in soil over time.展开更多
This review focuses on the pathophysiology of gastroesophageal reflux disease (GERD) and its implications for treatment. The role of the natural anti-reflux mechanism (lower esophageal sphincter, esophageal peristalsi...This review focuses on the pathophysiology of gastroesophageal reflux disease (GERD) and its implications for treatment. The role of the natural anti-reflux mechanism (lower esophageal sphincter, esophageal peristalsis, diaphragm, and trans-diaphragmatic pressure gradient), mucosal damage, type of refluxate, presence and size of hiatal hernia, Helicobacter pylori infection, and Barrett’s esophagus are reviewed. The conclusions drawn from this review are: (1) the pathophysiology of GERD is multifactorial; (2) because of the pathophysiology of the disease, surgical therapy for GERD is the most appropriate treatment; and (3) the genesis of esophageal adenocarcinoma is associated with GERD.展开更多
文摘Bile reflux gastritis (BRG) is a gastro-intestinal condition especially characterized by the reflux of bile into the stomach, further leading to mucosal inflammation along with various other clinical manifestations. Despite its increasing recognition, BRG remains understudied, with limited understanding of its epidemiology, pathophysiology, and optimal therapeutic strategies. Present narrative review aimed to comprehensively examine the available literature on BRG, focusing on its prevalence, risk factors, pathophysiology, clinical presentation, diagnostic modalities, and available therapeutic strategies. A comprehensive literature search was conducted using PubMed, Embase, Google Scholar and Cochrane databases. Relevant studies were included based on predefined inclusion and exclusion criteria. A narrative synthesis was conducted to summarize and interpret the findings. The prevalence of BRG remains uncertain due to diagnostic challenges. Risk factors include impaired gastrointestinal motility, sphincteric dysfunction (pyloric sphincter and the lower oesophageal sphincter), biliary tract disease, and certain medications. The pathophysiology involves bile acid-induced mucosal injury, inflammation, and impaired gastric defence mechanisms. Clinical manifestations are often nonspecific. Diagnostic modalities primarily include endoscopy and bile acid reflux testing. Management strategies encompass lifestyle modifications, medical therapy, and in severe cases, surgery. BRG is a complex condition with significant clinical implications. Further research is needed to refine diagnostic criteria, elucidate pathophysiological mechanisms, and develop effective therapeutic interventions. Addressing knowledge gaps in epidemiology, risk factors, and long-term outcomes is crucial for improving patient care.
基金Funded by National Eleventh Five-Year Plan Technology Support Program of China(2007BAE42B04)the Open Project of State Key Laboratory Cultivation Base for Nonmetal Composites,Functional Materials of Sichuan Province(10zxfk23)+1 种基金Scientific Research Project of Sichuan Normal University(11KYL06)Key Fund Project of Sichuan Provincial Department of Education(14ZA0027)
文摘An efficient reflux extraction of polyethylene wax(PEW) in soil is presented, followed by molecular structure characterization methods to explore its degradation mechanism. To more realistically simulate the actual degradation of PE film powders in soil, low density PE(M=5 000) powders, being used as simulated PEW residue sample, were uniformly mixed with soil and then recovered by reflux extraction with decahydronaphthalen(decalin) at 90 ?C for 60 min. The average recovery of PEW from fortified soils was 96.5% with the developed reflux extraction procedure. The recovered PEW residue samples were characterized by infrared spectroscopy(IR), element analysis(EA), X-ray fluorescence(XFR), and high-temperature gel permeation chromatography(GPC). The results from spectra analysis show that there were no significant changes in molecular structures and molecular mass distribution of PEW samples after the reflux extraction, which demonstrate the reliability of this method. These results also indicate that the reflux extraction procedure and analytical methods of characterization could serve as a novel measurement technique to evaluate the degradation of low-density PE powders in soil over time.
文摘This review focuses on the pathophysiology of gastroesophageal reflux disease (GERD) and its implications for treatment. The role of the natural anti-reflux mechanism (lower esophageal sphincter, esophageal peristalsis, diaphragm, and trans-diaphragmatic pressure gradient), mucosal damage, type of refluxate, presence and size of hiatal hernia, Helicobacter pylori infection, and Barrett’s esophagus are reviewed. The conclusions drawn from this review are: (1) the pathophysiology of GERD is multifactorial; (2) because of the pathophysiology of the disease, surgical therapy for GERD is the most appropriate treatment; and (3) the genesis of esophageal adenocarcinoma is associated with GERD.
