Diagnostics and treatment of cardiac achalasia and cardiospasm: guidelines of the Russian gastroenterological association

Ивашкин, В. Т.; Трухманов, А. С.; Годжелло, Э. А.; Mayev, I.V.; Evsyutina, Yu. V.; Лапина, Т. Л.; Сторонова, О. А.

doi:10.22416/1382-4376-2016-4-36-54

Cited by 6 publications

(1 citation statement)

References 43 publications

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“…The severity of esophagitis was diagnosed in accordance with the Savary-Miller classification (1977) in the modification of Ivashkin VT, Trukhmanova AS. 7 the presence of complications of GERD, hernia of the esophageal aperture of the diaphragm (GVPD). With EN GERD, fluoroscopy of the esophagus and stomach with barium in the Trendelenburg position was additionally performed.…”

Section: Methodsmentioning

confidence: 99%

The circadian characteristics of arterial blood pressure in patients with acid-related diseases and arterial hypertension

OV¹

2018

MOJBM

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In modern medicine, an individual approach to the patient dictates the need for a multifaceted study of the clinical picture of underlying, concomitant and transmitted diseases, as well as their comprehensive diagnosis and rational treatment.1 To date, at the stage of outpatient and inpatient care, patients with multiple diseases are more the rule than the exception. Various nosologies increasingly acquire the status of co morbidity, changing the classical clinical picture of each of the concomitant diseases, continuing to worsen the quality of life of the patient.2 This is why the problem of the associated disease course continues to be important both for science and for practical health care.3 The steady increases in the number of patients who have a combined pathology can be associated with both an increase and aging of the population and a negative impact of the socioeconomic characteristics of society. Obviously, nosological synthropy becomes particularly relevant in relation to widespread and socially significant diseases. In the conditions of daily clinical practice, the practitioner increasingly meets with patients who have combinations of peptic ulcer (duodenal ulcer) (DU) and coronary heart disease, diabetes mellitus and pulmonary tuberculosis, bronchial asthma and duodenal ulcer, AH and acid-related diseases (ARD).2,4 AH is the most common chronic non-infectious disease of the adult population and the most frequent pathology of the cardiovascular system (CVS).5,6 The prevalence of hypertension in economically developed countries reaches 25%. In turn, ARD, including gastroesophageal reflux disease (GERD) and DU, to date also have a high prevalence in the population, a tendency to increase and are the most common among diseases of the gastrointestinal tract.7,8 Thus, AH and ARD remain the main nosological forms of modern cardiology and gastroenterology. Already by virtue of their prevalence, these diseases would have to meet quite often together, having in addition a certain common mechanism of formation. The proximity of the location with the heart, the generality of the innervations, are capable of provoking arrhythmias, imitating coronary heart disease when the stomach is overfilled, the pathology of the esophagus by the type of viscerovisceral reflexes. The pathology of the upper gastrointestinal tract can lead to functional disorders of the CVS that arise mediated through the autonomic/visceral nervous system (VNS).9,10 Taking into account the above mentioned positions, it can be assumed that the combined course of AH and ARD which is found, according to various data, from 11.6% to 50%.4,6,8 is not just random, but can have pathogenetic and etiological patterns. Moreover, mutual weaning is not excluded when combining these nosologies. The comorbidity of ARD and AH can aggravate the development of the underlying pathological process and lead to the disruption of adaptive mechanisms. In this respect, further studies of the pathogenetic relationship of ARD and AH on the basis of the structural and func...

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Section: Methodsmentioning

confidence: 99%

The circadian characteristics of arterial blood pressure in patients with acid-related diseases and arterial hypertension

OV¹

2018

MOJBM

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The application of proton pump inhibitors during pregnancy: the choice and indications for use

Vyuchnova¹,

Yurenev²,

Mironova³

2016

Dok. gastroenterol.

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Comorbidity of esophageal achalasia, mixed anxiety and depressive reaction in a young female patient: problems of diagnosis and treatment

et al. 2019

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Achalasia cardia (“cardiospasm”, “phrenospasm”, “dolichoesophagus”, “megaesophagus”, “stenosis of cardia”) represents a primary impairment of esophageal motor function associated with impaired lower esophageal sphincter relaxation and peristalsis defects of the thoracic esophagus. It is diagnosed at the age of 25 to 60 years, making up to 20% of all diseases of the esophagus, and is characterized by a triad of symptoms: dysphagia, regurgitation and chest pain when swallowing. In most cases the first manifestations of achalasia are preceded by stress situations in the anamnesis that complicates the differential diagnosis of psychogenic esophageal spasm. The presented clinical case illustrates difficulties of early diagnosis of achalasia cardia in a young femalepatient with severe anxiety and depressive symptoms which develop under conditions of chronic stressful situations in the family or at work. The issues of interdisciplinary interaction of health professionals (physician, gastroenterologist, psychiatrist, psychotherapist, and surgeon) on the course of examination and management of patients with comorbid physical and mental pathology are discussed. The efficiency of the integrative approach to treatment and rehabilitation with the use of modern reconstructive surgical interventions as well as conservative methods of therapy, psychopharmacotherapy and personality-oriented psychotherapy proves the relevance of studying psychosomatic aspects of achalasia cardia.

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Diagnostics and treatment of cardiac achalasia and cardiospasm: guidelines of the Russian gastroenterological association

Cited by 6 publications

References 43 publications

The circadian characteristics of arterial blood pressure in patients with acid-related diseases and arterial hypertension

The circadian characteristics of arterial blood pressure in patients with acid-related diseases and arterial hypertension

The application of proton pump inhibitors during pregnancy: the choice and indications for use

Comorbidity of esophageal achalasia, mixed anxiety and depressive reaction in a young female patient: problems of diagnosis and treatment

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