Its Not the Bile that Causes Problems...

[Guest guest]

Hi,

Its not the bile that cause the problems its the Acid!

According to this study: Reflux symptoms are much more often related to

ACID reflux than Bile reflux. Bile reflux does not seem to be a major factor

in producing esophageal symptoms.

The relationship between acid and bile reflux and symptoms in

gastro-esophageal reflux disease.

Gut 1997 Feb;40(2):182-7

Marshall RE, Anggiansah A, Owen WA, Owen WJ

Department of Surgery, Guy's Hospital, London.

BACKGROUND: The role of bile in the genesis of esophageal symptoms and

disease is incompletely understood. A new method of ambulatory bile

monitoring may help to define this role. AIMS: To establish the relationship

between symptom events and acid and bile reflux episodes.

PATIENTS: 59 consecutive patients presenting for further investigation of

gastro-esophageal reflux disease.

METHODS: All patients underwent combined ambulatory pH and bile monitoring.

For each patient, a symptom index (SI) was calculated in relation to both

acid reflux and bile reflux episodes.

RESULTS: Patients were divided into those without (group 1, n = 21) and

those with (group 2, n = 38) acid reflux. A total of 394 symptoms were

identified in 59 patients. In group 1, there were fewer symptom events per

patient (mean 4.1) than group 2 (mean 8.1). Twenty three per cent of symptom

events were associated with acid reflux in group 1 and 41% in group 2. Only

6% of symptom events in both groups were related to bile reflux. In group 1

both the acid and bile related SI score were low. In group 2 the bile

related SI score was low, but the acid related SI score was high.

CONCLUSIONS: Symptoms are much more often related to acid reflux than bile

reflux. Bile reflux does not seem to be a major factor in producing

esophageal symptoms.

RR

Rutledge, M.D., F.A.C.S.

The Center for Laparoscopic Obesity Surgery

4301 Ben lin Blvd.

Durham, N.C. 27704

Telephone #:

Fax #:

Email: DrR@...

[Guest guest]

Dr. R, If a person doesn't have a gallbladder, which I don't, will I need

Actigall? And do I make bile without a gallbladder? Thanks, PhillyJude

(I'll be meeting you, and doing the dance, before this year is out, if I have

anything to say about it. So, save one dance for me!!!)

[Guest guest]

Hi Judy,

I had gallbladder surgery 4 years before my MGB. I don't take

actigall. Yes - you still make bile, you just don't have an organ

that stores it anymore.

All the best,

Debbie

> Dr. R, If a person doesn't have a gallbladder, which I don't, will

I need

> Actigall? And do I make bile without a gallbladder? Thanks,

PhillyJude

> (I'll be meeting you, and doing the dance, before this year is out,

if I have

> anything to say about it. So, save one dance for me!!!)

[Guest guest]

Maybe I missed something, but before the surgery, everything I placed in my

mouth gave me heartburn or gastric reflux. Since the surgery, although I am

not eating much, I don't have it at all. Before, I don't care what I ate, I

had it. I don't have a gallbladder. I don't know if that would have

anything to do with it or not.

[Guest guest]

Welcome Back, B

[Guest guest]

It is good to be back Sis. How are you and where have you been? We need to

talk. Will contact soon.

Love,

Your Sis

[Guest guest]

HI SIS-

Lada told me you hurt your back, exercising...I thought " ???!!!

Exercising???? "

WAY TO GO, TANYA B.!!!!!!!!!!!! I'm not going to say, slow down, I'll just

say be careful!

See you Sat at Lada's.........

xoxo, r. potts

[Guest guest]

i can never reach you and i need to talk to you. call me

your sis