Features of diagnostics of gastroesophageal and duodenogastric reflux in patients with complicated forms of peptic ulcer
Journal Title: Медичні перспективи - Year 2018, Vol 23, Issue 4
Abstract
Purpose – to improve the results of surgical treatment of duodenal ulcer due to preoperative diagnosis of concomitant reflux disease and its correction. Before surgery, 46 patients with complicated forms of peptic ulcer disease underwent pH monitoring and 23 – impedance-pH monitoring. Pathological gastroesophageal reflux was found in 58 cases. Before surgery, esophageal pH monitoring was performed in 46 patients with complicated forms of peptic ulcer disease. Against the background of hyper – and normacidity of the stomach in 39 patients pathological acidic gastroesophageal reflux disease with a significant increase of De Meester index was confirmed. Impedance-pH monitoring was performed before surgery in 23 patients with complicated forms of peptic ulcer and concomitant gastroesophageal reflux. Erosive form of gastroesophageal reflux disease was confirmed endoscopically in all patients with hyperacidity (17) and normal acidity (6) of the stomach. In 19 cases pathological gastroesophageal reflux disease was found. In 13 cases the cause of disorders in anti-reflux barrier was a diaphragmatic hernia of I-II degree. Gastroesophageal reflux disease was caused by increased intragastric pressure due to ulcer stenosis in 6 patients. pH- monitoring in patients with acidic gastroesophageal reflux allows to establish a pathological or physiological reflux. Conducting impedance-pH monitoring allows to determine the number of reflux episodes and their qualitative characteristics (acidic or alkaline; liquid, gas or mixed), as well as to determine the indications for a differentiated approach in the treatment of gastroesophageal reflux.
Authors and Affiliations
N. N. Veligotskii, V. V. Komarchuk, Ye. V. Komarchuk, I. V. Teslenko, A. S. Chebotaryov
Keywords
Related Articles
- EP ID EP436608
- DOI 10.26641/2307-0404.2018.4(part1).145659
- Views 87
- Downloads 0
Особливості змін лабораторних показників пацієнтів на фоні використання дексмедетомідину при септопластиці
Особенности изменения лабораторных показателей пациентов на фоне применения дексмедето¬мидина при септопластике. Айварджи А.А. В настоящее время большое внимание ученых во всем мире уделяется периоперационной стратегии в...
The characteristics of side effects of different modes of chemotherapy for breast cancer
The vast majority of breast cancer patients have logged phenomenon of systemic toxicity during the period of chemotherapy, the frequency and severity of which increases through special courses of drug therapy. The author...
Когнітивні порушення в пацієнтів із серцевою недостатністю ішемічного генезу
Когнитивные нарушения у пациентов с сердечной недостаточностью ишемического генеза. Азаренко В.Е., Потабашний В.А.,Фесенко В.И., Князева Е.В. Сердечная недостаточность – сложный клинический синдром со множественными взаи...
Особенности микробиоценоза десневых тканей и местного иммунитета у больных с хроническим и обострившимся течением генерализованного катарального гингивита
У статті представлені результати порівняльного вивчення особливостей мікробіоценозу ясенних тканин та місцевого імунітету у 42 хворих з хронічним та загостреним перебігом генералізованого катарального гінгівіту. Виявлено...
Particularities of gastroduodenal pathology in children, associated with cytotoxic CAGA-positive strains of Helicobacter pylori
The aim of the study was to investigate the characteristics of inflammatory gastroduodenal diseases in children, associated with CagA-positive strains of H. pylori. We observed 283 children aged 7 to 17 years with chroni...