Gastric and duodenal motor-evacuation activity in patients with gastroesophageal reflux disease associated with Gastroesophageal And duodenogastroesophageal Reflux
Aim: to study gastric and duodenal motor-evacuation activity in patients with GERD associated with pathological reflux - gastroesophageal and duodenogastroesophageal. Materials and Methods. In an observational cross-sectional study the pH-metry and peripheral electrogastroenterography parameters were examined in 50 GERD patients with endoscopically positive distal reflux esophagitis due to different types of pathologic gastroesophageal and duodenogastroesophageal reflux. Results. Patients with GERD, associated with primary gastroesophageal reflux, have moderate gastrostasis and discoordinated antroduodenal propulsion, formed due to hypomotor stomach and duodenum dyskinesia. In patients with GERD in the presence of primary duodenogastroesophageal reflux gastrostasis and duodenal hyperkinesis were combined with discoordination of antroduodenal and duodenojejunal propulsion. Conclusion. Detected motor-evacuation disorders of esophagogastroduodenal zone form the pathological reflux into the esophagus and associated antral gastritis and distal esophagitis.