الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Bronchial asthma is a clinical state of hightened reactivity of the tracheobronchial tree to multiple stimuli Symptomatic gastroesophageal reflux is one of the commonest problems encountered by physicians in all specialities Symptomatic gastroesophageal reflux is one of the commonest problems encountered by physicians in all specialities Asthma in particular has an intersting and frequent association asthma GER could be a cause of asthma, either by aspiration or vagal reflex , or asthma could be a cause of GER by changing the LES with asthma during therapy or alterations in thoracic pressures Surgical repair of hiatal hernia or medical managment of the reflux lead to remarkable improvement or even disappearance of the asthmatic state The aim of this work is to study the interrelations between bronchial asthma and gastroesophageal reflux * This study was carried out on three groups : Group I:Included 18 healthy subjects as a control group I 0 control persons for asthma group ( subjected toesophagoscopy , esophageal manometry and 24 h intraesophageal PH monitoring and pulmonary function tests) and 8 control persons for reflux group ( subjected to bronchoscopy and bronchoalveolar lavage ) The age of them was ranged from 19 - 77 years with a mean age 30.16 years Group //: Included 20 asthmatic patients The age of them was ranged from 17 - 50 years with a mean age 32.30 years All asthmatic patients had paroxysmal attacks of wheezy chest, dyspnea , cough and expectoration or documented reversible airway obstruction as determined by a 20% improvement in forced expiratory volume in the first second ( FEV I ) after bronchodilator administration or a 20 % decrease in FEV I after methacholine bronchoprovocation.