Differences in salivary secretion and epidermal growth factor concentrations in mild reflux esophagitis and non-erosive reflux disease

• Published in: Esophagus : official journal of the Japan Esophageal Society Vol. 20; no. 2; pp. 317 - 324
• Main Authors: Koeda, Mai, Momma, Eri, Tanabe, Tomohide, Kitasako, Yuichi, Hoshikawa, Yoshimasa, Hoshino, Shintaro, Kawami, Noriyuki, Iwakiri, Katsuhiko
• Format: Journal Article
• Language: English
• Published: Singapore Springer Nature Singapore 01.04.2023; Springer Nature B.V
• Subjects: Acids; Body fluids; Case-Control Studies; Endoscopy; Endoscopy, Gastrointestinal; Epidermal growth factor; Epidermal Growth Factor - metabolism; Esophagitis, Peptic; Esophagus; Exocrine glands; Female; Females; Gastroenterology; Gastroesophageal reflux; Gastroesophageal Reflux - complications; Gastroesophageal Reflux - metabolism; Humans; Male; Males; Medicine; Medicine & Public Health; Original Article; Patients; Surgical Oncology; Thoracic Surgery; Non-erosive reflux disease; Mild reflux esophagitis; Saliva secretion; Salivary epidermal growth factor
• ISSN: 1612-9059; 1612-9067; 1612-9067
• DOI: 10.1007/s10388-022-00966-x

Background Sex differences in salivary secretion have been reported among healthy subjects. In the present study, salivary secretion and salivary epidermal growth factor (EGF) concentrations were investigated in mild reflux esophagitis patients, non-erosive reflux disease (NERD) patients, and healthy controls by matching the sex ratio. Methods Thirty-three (male:female = 11:22) patients with NERD, 33 (11:22) with mild reflux esophagitis, and 33 (11:22) healthy controls were recruited for this case–control study. Salivary secretion was assessed as follows: each patient chewed sugar-free gum for 3 min prior to endoscopy, and the amount of saliva secretion, salivary pH, and salivary pH after acid loading as an index of the acid-buffering capacity were measured. Salivary EGF concentrations were measured by ELISA. Results No significant differences were observed in the amount of saliva secretion, salivary pH, or the acid-buffering capacity between the mild reflux esophagitis and NERD groups. However, the amount of saliva secretion and the acid-buffering capacity in the mild reflux esophagitis group and the amount of saliva secretion, salivary pH, and the acid-buffering capacity in the NERD group were significantly lower than those in the healthy control group. No significant differences were noted in salivary EGF concentrations between the mild reflux esophagitis and NERD groups. Conclusion After matching the sex ratio, the saliva secretion was significantly lower in patients with mild reflux esophagitis and NERD than in healthy controls. However, no significant differences were observed in the amount of saliva secretion or salivary EGF concentrations between both groups.