Re: non impact carbs--acid reflux

June 9, 2003

,

I think you are correct about acid reflux--if the acid cannot get up

to the esophagus from the stomach, there can be no reflux. But,don't

the cells in the pouch also produce acid which could get up into the

esophagus? I do not know enough about the normal physiology of the

pouch and its cell lining, but, even if the cells lining the pouch

normally did not produce acid it would still be possible for the

cells in the pouch to transform to acid-producers (orderly cell

transformations like this are called " metaplasia, " and when they

start to transform in a really disorganized way, " dysplasia " ). There

is also a possibility that cells lining the esophagus could produce

acid themselves by transforming from their normal type to an

acid-producing type. This type of cell metaplasia is known as

Barrett's esophagus.

--Steve

At 12:26 PM +0000 6/8/03, watnext2001 wrote:

>but you shouldn't be having acid

>reflux...heartburn can happen, but acid shouldn't be backing up into

>your esophagus unless there's an opening from the old stomach into

>the pouch. Anyone else know a reason this could happen, other than a

>SLD or fistula? Maybe I'm missing something (sure wouldn't be the

>first time:))

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