silicon and Gastroesophageal-Reflux

Data are presented from manometric and prolonged pH monitoring studies in 11 patients in whom the Angelchik anti-reflux prosthesis was inserted for control of symptomatic gastro-oesophageal reflux. Symptomatic and objective improvement was seen in the majority of our patients, although three suffered major side effects (erosion of prosthesis into the stomach in two, severe dysphagia in one). Impaired lower oesophageal sphincter relaxation noted after operation may explain both the transient dysphagia observed in five patients and the reduction in reflux episodes. Improvement in oesophageal acid clearance may result from fixation of the oesophagus within the abdomen by the device. While continued use of the prosthesis should be viewed with caution, it is effective and may have a place in the management of selected patients.

Topics: Adult; Esophagogastric Junction; Female; Follow-Up Studies; Gastroesophageal Reflux; Humans; Hydrogen-Ion Concentration; Male; Manometry; Middle Aged; Monitoring, Physiologic; Prostheses and Implants; Silicon

Topics: Esophagitis; Gastroesophageal Reflux; Hernia, Diaphragmatic; Hernia, Hiatal; Humans; Ligation; Male; Middle Aged; Prostheses and Implants; Silicon

Topics: Data Collection; Esophagus; Gastroesophageal Reflux; Humans; Prostheses and Implants; Silicon; United Kingdom

A case of intestinal obstruction and enterocolitis, probably as a consequence of inappropriate use of thickened feedings, is reported. Products which thicken feedings take an important part in the treatment of gastro-oesophageal reflux in infants. In order to thicken feedings, pectin and silicium have been added to milk. However, they may lead to an obstructive medication bezoar. Thus, it is necessary to limit their use to 3-5% of feeding and to clearly explain their potential hazards to the family.

Topics: Enterocolitis; Female; Gastroesophageal Reflux; Humans; Infant; Intestinal Obstruction; Pectins; Silicon; Silicon Compounds