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Kaibysheva V.O.

N.I. Pirogov Russian National Research Medical University, Moscow, Russia;
City Clinical Hospital №31, Moscow, Russia

Shapoval’yants S.G.

Department of Hospital Surgery №2 with the research laboratory of surgical gastroenterology and endoscopy, N.I. Pirogov Russian National Research Medical University, Moscow

The role of functional study methods in diagnostics and the choice of treatment of gastroesophageal reflux disease and its complications

Authors:

Kaibysheva V.O., Shapoval’yants S.G.

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Journal: Russian Journal of Evidence-Based Gastroenterology. 2017;6(3): 9‑18

DOI: 10.17116/dokgastro2017639-18

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Table of contents

THE ROLE OF FUNCTIONAL STUDY METHODS IN DIAGNOSTICS AND THE CHOICE OF TREATMENT OF GASTROESOPHAGEAL REFLUX DISEASE AND ITS COMPLICATIONS
THE ROLE OF FUNCTIONAL STUDY METHODS IN DIAGNOSTICS AND THE CHOICE OF TREATMENT OF GASTROESOPHAGEAL REFLUX DISEASE AND ITS COMPLICATIONS

To cite this article:

Kaibysheva VO, Shapoval’yants SG. The role of functional study methods in diagnostics and the choice of treatment of gastroesophageal reflux disease and its complications. Russian Journal of Evidence-Based Gastroenterology. 2017;6(3):9‑18. (In Russ.)
https://doi.org/10.17116/dokgastro2017639-18

Подписка 2026 Доказательная гастроэнтерология (Russian Journal of Evidence-Based Gastroenterology)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

Aim. The objective of the present study was to evaluate the potential of the multichannel intraluminal рН-impedance measurement of the oesophagus and the high-resolution oesophageal manometry for diagnostics and correction of gastroesophageal reflux disease and its complications. The principal issues. Gastroesophageal reflux disease and its complications is pathogenetically heterogeneous pathological condition not infrequently associated with the disturbances of the motor function of the thoracic portion of the oesophagus and the lower oesophageal sphincter that are responsible for their long-term exposition to the action of the aggressive acid and alkaline contents of the stomach and duodenum. The application of the multichannel intraluminal рН-impedance measurement of the oesophagus and the high-resolution oesophageal manometry makes it possible to elucidate, with a very high degree of accuracy, the main pathogenetic mechanisms underlying the development of gastroesophageal reflux disease and its complications in a concrete patient; moreover, it allows to identify the character and composition of the refluctate, choose the optimal therapeutic strategy, and avoid the surgical intervention for the management of this condition. Conclusion. The application of the multichannel intraluminal рН-impedance measurement of the oesophagus and the high-resolution oesophageal manometry are indispensable methods for the study of the patients presenting with gastroesophageal reflux disease refractory to antisecretory therapy including their examination in the framework of the preoperative diagnostic investigations.

Keywords:

gastroesophageal reflux disease
multichannel intraluminal рН-impedance measurement of the oesophagus
high-resolution oesophageal manometry

Authors:

Kaibysheva V.O.

N.I. Pirogov Russian National Research Medical University, Moscow, Russia;
City Clinical Hospital №31, Moscow, Russia

Shapoval’yants S.G.

Department of Hospital Surgery №2 with the research laboratory of surgical gastroenterology and endoscopy, N.I. Pirogov Russian National Research Medical University, Moscow

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References:

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