Gastroesophageal Reflux Disease: Diagnosis, Medication, Balneotherapy

The article presents modern views on the problem of gastroesophageal reflux disease (GERD). Data on the prevalence and risk factors for the development of the disease are presented. Emphasis is placed on the special role of slightly acidic and slightly alkaline reflux in the pathogenesis of GERD, wh...

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Main Authors: A. E. Shklyaev, V. M. Dudarev
Format: Article
Language:Russian
Published: SINAPS LLC 2022-05-01
Series:Архивъ внутренней медицины
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Online Access:https://www.medarhive.ru/jour/article/view/1430
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author A. E. Shklyaev
V. M. Dudarev
author_facet A. E. Shklyaev
V. M. Dudarev
author_sort A. E. Shklyaev
collection DOAJ
description The article presents modern views on the problem of gastroesophageal reflux disease (GERD). Data on the prevalence and risk factors for the development of the disease are presented. Emphasis is placed on the special role of slightly acidic and slightly alkaline reflux in the pathogenesis of GERD, which, in combination with dysfunction of the lower esophageal sphincter and impaired motor-evacuation function of the stomach, are important factors, determining the the lack of effectiveness of standard antisecretory therapy. The exceptional importance of the 24-hour pH impedanceometry method is emphasized for the differential diagnosis of the non-erosive form of GERD with functional heartburn and hypersensitivity of the esophagus to reflux (the so-called hypersensitive esophagus). The data of the results of domestic and foreign studies devoted to the evaluation of the effectiveness of the use of physiotherapeutic methods and drinking balneotherapy in patients with GERD are given.
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series Архивъ внутренней медицины
spelling doaj-art-546e01a3296a47ef824a6bb9695bb7842025-08-20T03:37:56ZrusSINAPS LLCАрхивъ внутренней медицины2226-67042411-65642022-05-0112319520210.20514/2226-6704-2022-12-3-195-202893Gastroesophageal Reflux Disease: Diagnosis, Medication, BalneotherapyA. E. Shklyaev0V. M. Dudarev1Izhevsk State Medical AcademyIzhevsk State Medical AcademyThe article presents modern views on the problem of gastroesophageal reflux disease (GERD). Data on the prevalence and risk factors for the development of the disease are presented. Emphasis is placed on the special role of slightly acidic and slightly alkaline reflux in the pathogenesis of GERD, which, in combination with dysfunction of the lower esophageal sphincter and impaired motor-evacuation function of the stomach, are important factors, determining the the lack of effectiveness of standard antisecretory therapy. The exceptional importance of the 24-hour pH impedanceometry method is emphasized for the differential diagnosis of the non-erosive form of GERD with functional heartburn and hypersensitivity of the esophagus to reflux (the so-called hypersensitive esophagus). The data of the results of domestic and foreign studies devoted to the evaluation of the effectiveness of the use of physiotherapeutic methods and drinking balneotherapy in patients with GERD are given.https://www.medarhive.ru/jour/article/view/1430gastroesophageal reflux diseaselower esophageal sphincteresophageal ph monitoringbalneotherapy
spellingShingle A. E. Shklyaev
V. M. Dudarev
Gastroesophageal Reflux Disease: Diagnosis, Medication, Balneotherapy
Архивъ внутренней медицины
gastroesophageal reflux disease
lower esophageal sphincter
esophageal ph monitoring
balneotherapy
title Gastroesophageal Reflux Disease: Diagnosis, Medication, Balneotherapy
title_full Gastroesophageal Reflux Disease: Diagnosis, Medication, Balneotherapy
title_fullStr Gastroesophageal Reflux Disease: Diagnosis, Medication, Balneotherapy
title_full_unstemmed Gastroesophageal Reflux Disease: Diagnosis, Medication, Balneotherapy
title_short Gastroesophageal Reflux Disease: Diagnosis, Medication, Balneotherapy
title_sort gastroesophageal reflux disease diagnosis medication balneotherapy
topic gastroesophageal reflux disease
lower esophageal sphincter
esophageal ph monitoring
balneotherapy
url https://www.medarhive.ru/jour/article/view/1430
work_keys_str_mv AT aeshklyaev gastroesophagealrefluxdiseasediagnosismedicationbalneotherapy
AT vmdudarev gastroesophagealrefluxdiseasediagnosismedicationbalneotherapy