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Re: Is it possible for a weak LES to disappear

From: Dennis Wilcox,M.D.
Date: 09/02/00
Time: 20:58:52

Comments

A "weak esophagus" is probably a misleading concept. People develop GERD from the shortening of the length of the LES which is associated with a diminished ability to function as a one way valve. Think of the LES like a stem on a balloon. When it is deflated it is long but shortens as the balloon is inflated. As the stomach fills when eating the incompetent LES shortens beyond its ability to function as a one way valve and reflux occurs. It is not possible to measure the competency of the LES by looking at it during endoscopy. This requires a pH and esophageal manometry test. Please visit my website for further information. http://www.sdheartburn.com

Last changed: January 11, 2008