Title: Acid and Weakly Acidic Solutions Impair Mucosal Integrity of Distal Exposed and Proximal non-Exposed Human Oesophagus
Authors: Farre, Ricard
Fornari, Fernando
Blondeau, Kathleen
Vieth, Michael
De Vos, Rita
Bisschops, Raf
Mertens, Veerle
Pauwels, Ans
Tack, Jan
Sifrim, Daniel # ×
Issue Date: Feb-2010
Publisher: BMJ Publishing Group
Series Title: Gut vol:59 issue:2 pages:164-169
Abstract: BACKGROUND: Oesophageal mucosa dilated intercellular spaces (DIS) may be important for symptom perception in non-erosive reflux disease (NERD). Patients with NERD might have DIS even in the proximal oesophagus. We aimed to assess the effect of oesophageal perfusions with acid and weakly acidic solutions on "exposed" and "non-exposed" oesophageal mucosa and its relationship to symptoms in healthy subjects. METHODS: 14 healthy volunteers underwent upper GI endoscopy with biopsies at 3 and 13 cm proximal to the EGJ. In following sessions, subjects received 30 min perfusions with neutral, weakly acidic, acidic and acidic-bile acid solutions at 5 cm above the EGJ (separated 4 weeks). Biopsies were taken 20 min after perfusions. Electron microscopy was used to measure DIS. Subjects scored heartburn during perfusions using a VAS scale. RESULTS: 1) oesophageal perfusion with acid solutions, with or without bile acids, provoked DIS in the "exposed" oesophageal mucosa; 2) oesophageal perfusion with weakly acidic solutions, provoked identical changes to those observed after perfusion with acid solutions; 3) distal oesophageal perfusions not only provoked changes in the "exposed" but also in the more proximal "non exposed" mucosa and 4) in spite of the presence of perfusion-induced DIS, most healthy subjects did not perceive heartburn during the experiments. CONCLUSIONS: Human oesophageal mucosa is very sensitive to continuous exposure with acidic and weakly acidic solutions. In spite of the presence of intraluminal acid and DIS, healthy subjects did not experience heartburn, suggesting that NERD patients should have other critical factors underlying their symptoms.
ISSN: 0017-5749
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Translational Research in GastroIntestinal Disorders
Translational Cell & Tissue Research
× corresponding author
# (joint) last author

Files in This Item:

There are no files associated with this item.

Request a copy


All items in Lirias are protected by copyright, with all rights reserved.

© Web of science