The abdominal esophagus gastroesophageal junction, also known as the lower esophageal sphincter (LES), is the area where the esophagus connects to the stomach in the abdominal cavity. It is a muscular ring-like structure that acts as a valve, regulating the flow of food and preventing stomach acid from flowing back into the esophagus.
The LES is located just above the diaphragm, which separates the chest and abdominal cavities. It is composed of smooth muscle fibers that contract and relax to open and close the junction. When food is swallowed, the LES relaxes to allow the food to pass into the stomach. Afterward, it contracts to prevent the stomach contents, including stomach acid, from refluxing back into the esophagus.
The function of the abdominal esophagus gastroesophageal junction is crucial in preventing gastroesophageal reflux disease (GERD), a condition where stomach acid flows back into the esophagus, causing symptoms such as heartburn, regurgitation, and chest pain. If the LES is weak or dysfunctional, it may not close properly, leading to acid reflux and other complications.
Various factors can affect the function of the abdominal esophagus gastroesophageal junction, including diet, lifestyle, obesity, pregnancy, and certain medical conditions. Treatment options for disorders of the junction may include lifestyle modifications, medications to reduce stomach acid production, and in severe cases, surgical interventions to strengthen the LES or repair any structural abnormalities.