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Effect of dietary sodium chloride on gastro-oesophageal reflux

Effect of dietary sodium chloride on gastro-oesophageal reflux

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Effect of dietary sodium chloride on gastro-oesophageal reflux

Effect of dietary sodium chloride on gastro-oesophageal reflux
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A randomized controlled trial.

Aanen MC1, Bredenoord AJ, Smout AJ.

Author information

Gastrointestinal Research Unit, University Medical Center, Utrecht, The Netherlands. m.aanen@umcutrecht.nl
Source: ncbi.nlm.nih.gov

Abstract

OBJECTIVE:

It has been suggested that a high consumption of sodium chloride (NaCl) is associated with reflux symptoms. The objective of this study was to investigate the effect of increased dietary NaCl intake on gastro-oesophageal reflux and reflux mechanisms.

MATERIAL AND METHODS:

In this double-blind, placebo-controlled, crossover study 10 healthy male subjects received 5 g NaCl or placebo in capsules per day for one week, after which concurrent manometric, pH and impedance monitoring was carried out for 4.5 h.

RESULTS:

Oesophageal acid exposure time (pH < 4) was similar for placebo (median 11% (25th 3-75th 36)) and NaCl (9% (1-36)). No differences in the numbers of reflux episodes were found for NaCl (16 (13.5-22)) and placebo (23 (14.8-27)). Furthermore, similar numbers of liquid acid reflux episodes (placebo 12 (6.5-17.3); NaCl 10 (2.3-14.3)), liquid weakly acidic reflux episodes (placebo 5.5 (4-12.3); NaCl 6.5 (3-10.8)) and gaseous reflux episodes (placebo 1 (0-1.8); NaCl 2 (0-3)) were seen. In both conditions transient lower oesophageal sphincter relaxations (TLOSRs) were the most common reflux mechanism, followed by swallow-induced reflux. High salt intake lowered LOS pressure overall and in the first postprandial hour (p<0.01).

CONCLUSIONS:

High dietary sodium intake does not increase gastro-oesophageal reflux in healthy volunteers, despite a decrease in LOS pressure.

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