Characteristics of motor-secretory disorders in patients with ischemicheart disease with concomitant gastroesophageal reflux disease

As.prof. A.S Vnukova

Kharkiv medical academy of postgraduate education

The goal of the study was to examine the characteristics of motor-secretory disorders in patients with ischemicheart disease (IHD) and gastroesophageal reflux disease (GERD).

The present study was conducted with a total of 110 patients. The first group included 66 patients with IHD and concomitant GERD. The second group included 44 patients with IHD and without concomitant pathology.Control group included 20 healthy participants. Ultrasound examination was performed to assess motorevacuatorychanges. Gastric secretory function was assessed by endogastric pH-metry. The state of the regionalblood circulation was assessed by the measurement of celiac trunk diameter and blood flow velocity. Theseparameters were determined using sonography with color Doppler mapping.

After assessing ultrasound results in group 1 patients we found a significant increase in diameter of esophagealhiatus diameter, dilation of lower third of esophagus. Gastric juice aggression was found in both groups, morepronounced in group 1 patients. Decrease in celiac trunk diameter and blood flow velocity measurements werefound in both study groups.During the study a clear correlational dependence between increase in esophageal hiatus diameter, dilation ofthe lower third of esophagus, measurements of gastric juice pH and regional blood flow velocity were establishedboth in IHD patients with concomitant GERD and IHD patients without concomitant pathology.

Key Words: motor-secretory disorders, ischemic heart disease, gastroesophageal reflux disease, celiac trunk, regional blood flow, pH-metry

https://dx.doi.org/10.15407/internalmed2019.02.072

Download.PDF

For citing:

  1. Внукова, А.С. Особливості моторно-секреторних порушень у хворих на ішемічну хворобу серця із супутньою гастроезофагеальною рефлюксною хворобою // Східноєвропейський журнал внутрішньої та сімейної медицини. – 2019. – № 2. – С. 72-75. doi: 10.15407/internalmed2019.02.072
  2. Vnukova AS. [Characteristics Of Motor-Secretory Disorders In Patients With Ischemic Heart Disease With Concomitant Gastroesophageal Reflux Disease]. Shidnoevr. z. vnutr. simejnoi med. 2019;2:72-75. doi: 10.15407/internalmed2019.02.072. Ukrainian.