- IRMS - Nicolae Testemitanu SUMPh
- 1. COLECȚIA INSTITUȚIONALĂ
- MedEspera: International Medical Congress for Students and Young Doctors
- MedEspera 2018
Please use this identifier to cite or link to this item:
http://hdl.handle.net/20.500.12710/11192
Title: | Morphoclinic correlations in gastroesophageal reflux disease |
Authors: | Schiopu, Oleg |
Keywords: | gastroesophageal reflux disease;esogastric junction |
Issue Date: | 2018 |
Publisher: | MedEspera |
Citation: | SCHIOPU, Oleg. Morphoclinic correlations in gastroesophageal reflux disease. In: MedEspera: the 7th Internat. Medical Congress for Students and Young Doctors: abstract book. Chișinău: S. n., 2018, p. 191. |
Abstract: | Introduction. The esophageal junction (the epifrenic, intrahiatal and abdominal portions of the
esophagus and the cardia) was highlighted by the medical community as a remarkable segment
of the digestive tract and as a distinct anatomical-clinical entity. Lately, several pathologies have
been completed with a morphopathological substrate as this anatomical area, including
gastroesophageal reflux disease, hiatal hernia, Barrett's esophagus. Gastroesophageal reflux
disease is the most common pathology of the digestive tract, being considered "21st Century
Disease".
Aim of the study. Evaluation of morphoclinic peculiarities of the esophagogastric junction in
patients with gastroesophageal reflux disease.
Materials and methods. The study lot consisted of 273 patients diagnosed with
gastroesophageal reflux disease, which represents 9.12% of a total of 2997 patients admitted to
the gastroenterology department of IMSP SCR "Timofei Moşneaga" during 2009-2012. Modern
methods of investigation always highlight the morphopathological substrate in this pathology.
Results. The endoscopic examination revealed the presence of erosive esophagitis in 18.32% of
cases and the Barrett esophagus - 5.78%; the incompetence of the inferior esophageal sphincter
of 1st grade was determined in 28.35% cases, the second degree - 33.87% and the third degree -
37.78%. Radiological examination identified hiatal hernia in 7.75% of cases and
gastroesophageal reflux: high (cardia-to C VI) in 29.45% cases; medium (up to T VI) - 47.28%
and down (up to T XI-XII) - 23.25%.
Conclusios. Incompetence of the lower esophageal sphincter and gastroesophageal reflux forms
explains the extent of lesions on the esophageal mucosal surface while also arguing for atypical
symptoms (cervical, respiratory and cardiac) in gastroesophageal reflux disease. Based on the
results of the study, we can conclude that gastroesophageal reflux disease is manifested when
incompetence of antireflux mechanisms arises. |
URI: | https://medespera.asr.md/wp-content/uploads/Abastract-Book-2018.pdf http://repository.usmf.md/handle/20.500.12710/11192 |
Appears in Collections: | MedEspera 2018
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