WordNet

backflow of blood through a defective heart valve
recall after rote memorization; "he complained that school was just memorization and regurgitation"
relating to or involving the stomach; "gastric ulcer" (同)stomachic, stomachal

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逆流 / (未消化食物の)吐きもどし,反芻(はんすう) / 血液の逆流
胃の,胃に発生する

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1. 経腸栄養：経胃栄養と幽門後経管栄養の比較 enteral feeding gastric versus post pyloric
2. 悪心および嘔吐を伴う成人に対するアプローチ approach to the adult with nausea and vomiting
3. 麻酔における迅速気管導入・挿管法（RSII） rapid sequence induction and intubation rsii for anesthesia
4. 胃癌の危険因子 risk factors for gastric cancer
5. 成人における胃食道逆流症の合併症 complications of gastroesophageal reflux in adults

English Journal

Impairment of chemical clearance is relevant to the pathogenesis of refractory reflux oesophagitis.

Frazzoni M1, Bertani H2, Manta R2, Mirante VG2, Frazzoni L3, Conigliaro R2, Melotti G4.Author information 1Digestive Pathophysiology Unit, Baggiovara Hospital, Modena, Italy. Electronic address: marziofrazzoni@gmail.com.2Digestive Endoscopy Unit, Baggiovara Hospital, Modena, Italy.3Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.4Department of General Surgery, Baggiovara Hospital, Modena, Italy.AbstractBACKGROUND: The pathophysiological mechanisms underlying proton pump inhibitor-refractory reflux oesophagitis has been scarcely studied.
Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver.Dig Liver Dis.2014 Apr 4. pii: S1590-8658(14)00285-0. doi: 10.1016/j.dld.2014.03.005. [Epub ahead of print]
BACKGROUND: The pathophysiological mechanisms underlying proton pump inhibitor-refractory reflux oesophagitis has been scarcely studied.AIMS: To assess impedance-pH parameters relevant to the pathogenesis of refractory reflux oesophagitis.METHODS: Cases referred for heartburn/regurgitation refractor
PMID 24709005

A Noncoagulating Enteral Formula Can Empty Faster From the Stomach: A Double-Blind, Randomized Crossover Trial Using Magnetic Resonance Imaging.

Kuyumcu S1, Menne D, Curcic J, Goetze O, Klebach M, Abrahamse E, Hofman Z, Fried M, Schwizer W, Steingoetter A.Author information 1Division of Gastroenterology and Hepatology, University Hospital Zurich, Zurich, Switzerland.AbstractBackground: The gastric accumulation of enteral formulas in tube-fed patients leads to an increased risk of vomiting and regurgitation. Gastric secretion-induced coagulation of proteins in enteral formulas might lead to gastric accumulation of solid protein particles that further increase the risk of upper digestive intolerance. This study used magnetic resonance imaging to noninvasively assess the half-emptying time (t50) of enteral formulas differing in protein composition. Methods: Three isocaloric (450 kcal) and isovolumetric (300 mL) enteral formulas, 1 with a noncoagulating P4 protein blend and 2 with coagulating casein-dominant protein blends, were compared in a double-blind, randomized, 3-way crossover study in 21 healthy volunteers. Gastric content emptying curves were fitted with the LinExp model to compute t50 and the parameter κ with κ > 1 reflecting the accumulation of gastric secretion. t50 and κ were compared between all 3 enteral formulas. The formula that emptied fastest was identified by an ordinal mixed model using the ranks of t50. Results: As indicated by values for κ > 1, all enteral formulas induced gastric secretion. No differences were detected for t50. However, the noncoagulating formula emptied fastest in 74% of all participants (P = .004). Conclusion: This study demonstrates that a noncoagulating enteral formula can empty faster from the stomach compared with coagulating formulas in a large cohort of healthy volunteers. Investigations on the efficiency of the noncoagulating P4 protein blend in patients requiring tube feeding will further elucidate its potential for reducing upper digestive intolerance during enteral nutrition. Trial NTR2979.
JPEN. Journal of parenteral and enteral nutrition.JPEN J Parenter Enteral Nutr.2014 Apr 3. [Epub ahead of print]
Background: The gastric accumulation of enteral formulas in tube-fed patients leads to an increased risk of vomiting and regurgitation. Gastric secretion-induced coagulation of proteins in enteral formulas might lead to gastric accumulation of solid protein particles that further increase the risk o
PMID 24699556

Hoarseness Misattributed to Reflux: Sources and Patterns of Error.

Sulica L.Author information Department of Otolaryngology - Head & Neck Surgery, Weill Cornell Medical College, New York, New York, USA.AbstractOBJECTIVE: This study aimed to identify voice disorders commonly misidentified as reflux and sources of such misattribution.
The Annals of otology, rhinology, and laryngology.Ann Otol Rhinol Laryngol.2014 Apr 1. [Epub ahead of print]
OBJECTIVE: This study aimed to identify voice disorders commonly misidentified as reflux and sources of such misattribution.STUDY DESIGN: Retrospective chart review.METHODS: Twenty-six patients carrying a diagnosis of reflux alone presenting for second-opinion evaluation were identified from among 3
PMID 24690986

Japanese Journal

乳頭筋断裂による急性僧帽弁閉鎖不全症，僧帽弁置換術後の重症心不全に対しトルバプタン投与が有効であった1例

吉武勇,畑博明,秦光賢,瀬在明,飯田充,大幸俊司,木村玄,八百板寛子,中田金一,塩野元美
Journal of the Japanese Coronary Association 20(3), 209-213, 2014
症例は64歳男性．呼吸苦を主訴にショックバイタルで救命センターへ搬送され，急性冠症候群の診断下に気管内挿管，強心剤投与，IABP挿入し緊急冠動脈造影検査を施行．RCA #1 100%に対し血栓吸引および冠動脈ステント挿入．治療中に乳頭筋断裂による急性僧帽弁閉鎖不全症を合併し，同日緊急僧帽弁置換術を施行．IABP，強心剤投与下に適宜利尿剤を用い加療継続するも，うっ血性心不全が遷延．術後3病日目よりト …
NAID 130003397729

Upside down stomachを伴う食道裂孔ヘルニアに併発した進行胃癌の1例

小南裕明,川崎健太郎,田中賢一,金治新悟,藤野泰宏,富永正寛
日本臨床外科学会雑誌 73(12), 3129-3134, 2012
症例は87歳女性で食欲不振，全身倦怠感を主訴に近医を受診し胃癌を強く疑われた．胸部X線写真で心陰影に一致して胃泡が確認され，上部消化管透視検査で噴門から幽門まで胃全体が後縦隔に逸脱しupside down stomachを呈していた．上部消化管内視鏡検査では胃角から前庭部にかけて潰瘍性病変が認められ，生検で低分化型腺癌が検出された．Upside down stomachに併発した進行胃癌の診断で開 …
NAID 130004518190

茯苓甘草湯の消化器症状への応用

高木恒太朗
Kampo Medicine 63(1), 25-30, 2012
茯苓甘草湯は従来，主として発熱時の発作性脱汗に用いられてきたが消化器系の症状にも応用できる。<BR>（症例1）39歳。20年以上前から非常に重篤な嘔気発作を繰り返していた。発作時に茯苓甘草湯を与えるとすぐに嘔気は消失，定期的に内服すると嘔気発作はほとんど起こらなくなった。（症例2）64歳。1年前に早期胃癌にて胃亜全摘術を受けた。2週間前から食事を摂ると嘔吐するようになりほとんど食べられ …
NAID 130002124051