{"id":3553,"date":"2023-06-15T16:58:43","date_gmt":"2023-06-15T14:58:43","guid":{"rendered":"http:\/\/www.internalmed-journal.in.ua\/?p=3553"},"modified":"2023-08-11T13:51:05","modified_gmt":"2023-08-11T11:51:05","slug":"%d0%be%d0%bf%d1%82%d0%b8%d0%bc%d1%96%d0%b7%d0%b0%d1%86%d1%96%d1%8f-%d0%bb%d1%96%d0%ba%d1%83%d0%b2%d0%b0%d0%bd%d0%bd%d1%8f-%d0%b3%d0%b0%d1%81%d1%82%d1%80%d0%be%d0%b5%d0%b7%d0%be%d1%84%d0%b0%d0%b3%d0%b5","status":"publish","type":"post","link":"http:\/\/www.internalmed-journal.in.ua\/en\/archives\/3553","title":{"rendered":"Optimization of gastroesophageal reflux disease treatment with concomitant obesity: new approaches and perspectives"},"content":{"rendered":"<p style=\"text-align: justify;\"><strong>Prof. Oparin O.A., Kashyrtseva O.M.<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>Kharkiv National Medical University<\/strong><\/p>\n<p style=\"text-align: justify;\">\u00a0In recent decades, there has been a rapid increase in obesity among the working-age population. Excess weight is associated with an elevated risk of developing gastrointestinal pathology, including gastroesophageal reflux disease (GERD). The aim of this study was to investigate the effectiveness and rationale for the addition of tyrosine-2-alanylglycyl-phenylalanyl-leucyl-arginine diacetate (dalarin) to the standard GERD treatment regimen. Materials and Methods: A total of 110 study participants were divided into two groups: 40 patients with GERD without concomitant obesity and 70 patients with GERD and grade I obesity. One group received the standard treatment protocol, while the other group received dalarin as an additional medication. Disease progression was assessed after a three-week period using clinical, laboratory, and instrumental examinations. Results: The results of clinical, laboratory, and instrumental examinations provide evidence that combined treatment with the inclusion of dalarin surpasses the effectiveness of the standard treatment protocol in both the isolated GERD group and the GERD group with concomitant obesity.<\/p>\n<p style=\"text-align: justify;\"><strong>Key words:<\/strong> gastroesophageal reflux disease, GERD, obesity, dalarin, tyrosine-2-alanyl-glycyl-phenylalanylleucyl-arginine diacetate, GERD treatment.<\/p>\n<p style=\"text-align: justify;\"><a href=\"http:\/\/www.internalmed-journal.in.ua\/en\/archives\/3553\"><strong>\u00a0<\/strong><strong>https:\/\/dx.doi.org\/10.15407\/internalmed2023.02.018<\/strong><\/a><\/p>\n<p style=\"text-align: justify;\"><a href=\"http:\/\/www.internalmed-journal.in.ua\/wp-content\/uploads\/2023\/06\/\u0416\u0443\u0440\u043d\u0430\u043b_2_2023_19_06-18-23.pdf\"><strong>Download.PDF (ukr)<\/strong><\/a><\/p>\n<p style=\"text-align: justify;\"><strong>Cite:<\/strong><\/p>\n<ol style=\"text-align: justify;\">\n<li>\u041e\u043f\u0430\u0440\u0456\u043d, \u041e.\u0410. \u041e\u043f\u0442\u0438\u043c\u0456\u0437\u0430\u0446\u0456\u044f \u043b\u0456\u043a\u0443\u0432\u0430\u043d\u043d\u044f \u0433\u0430\u0441\u0442\u0440\u043e\u0435\u0437\u043e\u0444\u0430\u0433\u0435\u0430\u043b\u044c\u043d\u043e\u0457 \u0440\u0435\u0444\u043b\u044e\u043a\u0441\u043d\u043e\u0457 \u0445\u0432\u043e\u0440\u043e\u0431\u0438 \u0437 \u0441\u0443\u043f\u0443\u0442\u043d\u0456\u043c \u043e\u0436\u0438\u0440\u0456\u043d\u043d\u044f\u043c: \u043d\u043e\u0432\u0456 \u043f\u0456\u0434\u0445\u043e\u0434\u0438 \u0442\u0430 \u043f\u0435\u0440\u0441\u043f\u0435\u043a\u0442\u0438\u0432\u0438 \/ \u041e.\u0410. \u041e\u043f\u0430\u0440\u0456\u043d, \u041e.\u041c. \u041a\u0430\u0448\u0438\u0440\u0446\u0435\u0432\u0430 \/\/ \u0421\u0445\u0456\u0434\u043d\u043e\u0454\u0432\u0440\u043e\u043f\u0435\u0439\u0441\u044c\u043a\u0438\u0439 \u0436\u0443\u0440\u043d\u0430\u043b \u0432\u043d\u0443\u0442\u0440\u0456\u0448\u043d\u044c\u043e\u0457 \u0442\u0430 \u0441\u0456\u043c\u0435\u0439\u043d\u043e\u0457 \u043c\u0435\u0434\u0438\u0446\u0438\u043d\u0438. &#8211; 2023. &#8211; \u2116 2. &#8211; \u0421. 18-23. http:\/\/dx.doi.org\/10.15407\/internalmed2023.02.018<\/li>\n<li>Oparin OA, Kashyrtseva OM. [Optimization of gastroesophageal reflux disease treatment with concomitant obesity: new approaches and perspectives]. Shidnoevr. z. vnutr. simejnoi med. 2023;2:18-23. Ukrainian. http:\/\/dx.doi.org\/10.15407\/internalmed2023.02.018<\/li>\n<\/ol>\n<p style=\"text-align: justify;\"><strong>References:<\/strong><\/p>\n<ol>\n<li>Andolfi C, Fisichella P. Epidemiology of Obesity and Associated Comorbidities. Journal of Laparoendoscopic &amp; Advanced Surgical Techniques. 2018;28(8):919-924. http:\/\/dx.doi.org\/10.1089\/lap.2018.0380<\/li>\n<li>World Health Organization. Regional Office for Europe.\u00a0(\u200e2022)\u200e.\u00a0WHO European Regional Obesity Report 2022.\u00a0World Health Organization. Regional Office for Europe.\u00a0Avaliable from <a href=\"https:\/\/apps.who.int\/iris\/handle\/10665\/353747\">https:\/\/apps.who.int\/iris\/handle\/10665\/353747<\/a><\/li>\n<li>Aharkov, S.F., Tolstykova, O.A. Medyko-sotsialni aspekty hastrointestynalnykh rozladiv pry ozhyrinni u osib molodoho viku. In: IX Mezhdunarodnaia nauchno-prakt. internet-konf., 2018, Slaviansk. http:\/\/repo.dma.dp.ua\/id\/ eprint\/4117. Ukrainian<\/li>\n<li>Emerenziani S, Pier Luca Guarino M, Trillo Asensio L, Altomare A, Ribolsi M, Balestrieri P, Cicala M. Role of Overweight and Obesity in Gastrointestinal Disease. Nutrients. 2019;12(1):111. http:\/\/dx.doi.org\/10.3390\/nu12010111<\/li>\n<li>Richter J, Rubenstein J. Presentation and Epidemiology of Gastroesophageal Reflux Disease. Gastroenterology. 2018;154(2):267-276. http:\/\/dx.doi.org\/10.1053\/j.gastro.2017.07.045<\/li>\n<li>Hales C, Fryar C, Carroll M, Freedman D, Aoki Y, Ogden C. Differences in Obesity Prevalence by Demographic Characteristics and Urbanization Level Among Adults in the United States, 2013-2016. JAMA. 2018;319(23):2419. http:\/\/dx.doi.org\/10.1001\/jama.2018.7270<\/li>\n<li>Dewa Nyoman Wibawa I, Wayan Wina Dharmesti N. Gastroesophageal Reflux Disease and Obesity. Gastroesophageal Reflux Disease &#8211; A Growing Concern. 2023;:. http:\/\/dx.doi.org\/10.5772\/intechopen.106528<\/li>\n<li>Emerenziani S. Gastro-esophageal reflux disease and obesity, where is the link?. World Journal of Gastroenterology. 2013;19(39):6536. http:\/\/dx.doi.org\/10.3748\/wjg.v19.i39.6536<\/li>\n<li>El\u2010Serag H, Thrift A. Obesity and Gastroesophageal Reflux Disease. The Esophagus. 2021;:624-632. http:\/\/dx.doi.org\/10.1002\/9781119599692.ch36<\/li>\n<li>Valentini D, Fernandes D, Campos V, Mazzini G, Gurski R. Dietary weight loss intervention provides improvement of gastroesophageal reflux disease symptoms\u2014A randomized clinical trial. Clinical Obesity. 2022;13(1):. http:\/\/dx.doi.org\/10.1111\/cob.12556<\/li>\n<li>Greer K. Management of GERD in Patients With Obesity. Foregut: The Journal of the American Foregut Society. 2021;1(4):321-327. http:\/\/dx.doi.org\/10.1177\/26345161211066792<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Prof. Oparin O.A., Kashyrtseva O.M. Kharkiv National Medical University \u00a0In recent decades, there has been a rapid increase in obesity among the working-age population. Excess weight is associated with an elevated risk of developing gastrointestinal pathology, including gastroesophageal reflux disease (GERD). The aim of this study was to investigate the effectiveness and rationale for the&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[8,62,69,108],"tags":[],"translation":{"provider":"WPGlobus","version":"2.12.2","language":"en","enabled_languages":["uk","en","ru"],"languages":{"uk":{"title":true,"content":true,"excerpt":false},"en":{"title":true,"content":true,"excerpt":false},"ru":{"title":false,"content":false,"excerpt":false}}},"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"","_links":{"self":[{"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/posts\/3553"}],"collection":[{"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/comments?post=3553"}],"version-history":[{"count":8,"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/posts\/3553\/revisions"}],"predecessor-version":[{"id":3738,"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/posts\/3553\/revisions\/3738"}],"wp:attachment":[{"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/media?parent=3553"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/categories?post=3553"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/tags?post=3553"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}