GASTROESOPHAGEAL REFLUX DISEASE IN COMBINATION WITH ARTERIAL HYPERTENSION AND OTHER DISEASES OF THE DIGESTIVE SYSTEM: FEATURES OF MULTICHANNEL IMPEDANCE-PH MONITORING
About the author:
Ksenchyn O. O.
CLINICAL AND EXPERIMENTAL MEDICINE
Type of article:
Quite often there is a combined course of GERD and arterial hypertension at the same time, as many risk factors are common to these two diseases. The purpose of the study was to study the peculiarities of multichannel impedance-pH monitoring in patients with combined GERD and hypertension and differences in these rates from those in patients with isolated GERD and patients with GERD and concomitant diseases of the digestive system. Object and methods. The study included 79 patients with GERD which were divided into 3 groups: patients with isolated GERD, patients with combined course of GERD and hypertension and patients with GERD and comorbid gastrointestinal disorders. A multichannel impedance-pH monitoring of the esophagus was performed for all patients, namely a 3-hour version with a unified provocative breakfast. Results and discussion. Analysis of values of pH-grams did not reveal a plausible difference (p> 0.05) between groups. When comparing the results of multichannel impedance-pH monitoring, a significantly lower number of acid refluxes in the GERD and hypertension group was found, and significantly higher number of acid refluxes in the group with GERD and comorbid gastrointestinal disorders, and this difference was precisely at the expense of liquid acid reflux. Conclusions. According to the results of multichannel impedance-pH-monitoring, the group of patients differed only in the number of acid refluxes. A decrease in the proportion of acid reflux, in the group with GERD and concomitant hypertension, was detected in comparison with the group of patients with isolated GERD. There is also an increase in the proportion of acid reflux in the group of patients with GERD and concomitant gastrointestinal disorders
gastroesophageal reflux disease, arterial hypertension, diseases of the digestive system, multichannel impedance-pH monitoring.
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Publication of the article:
«Bulletin of problems biology and medicine» Issue 2 Part 2 (151), 2019 year, 127-131 pages, index UDK 616.329/33-002+616.12-008.331