Gastric motility disorders in adolescents with gastroesophageal reflux disease and functional dyspepsia
Background. Gastric motility disorders in patients with upper gastrointestinal pathology are one of the key factors in the development of diseases as they disturb the well-being of patients and, therefore, require timely diagnosis and correction. The purpose was to establish the features of gastric motility in adolescents with functional dyspepsia and gastroesophageal reflux disease. Materials and methods. A total of 54 adolescents aged 12–18 years were examined, they were diagnosed with gastroesophageal reflux disease (70.4 %) and functional dyspepsia (29.6 %). Gastric emptying was studied by ultrasound examination of the upper gastrointestinal tract. Results. Functional dyspepsia and gastroesophageal reflux disease in adolescents develop against the background of gastric motility disorders, more often in the form of delayed gastric emptying, regardless of the form of the pathological process and the age of patients. In some patients, these disorders are chronic. Acceleration of gastric emptying is noted much less frequently, it is more typical for younger patients infected with Helicobacter pylori. Conclusions. General pathogenetic mechanisms underlie gastric motility disorders in functional dyspepsia and gastroesophageal reflux disease in adolescents. Evaluation and correction of gastric motility disorders are mandatory when monitoring patients with gastroduodenal pathology.
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Drossman DA. Functional Gastrointestinal Disorders: History, Pathophysiology, Clinical Features and Rome IV. Gastroenterology. 2016 Feb 19. pii: S0016-5085(16)00223-7. doi: 10.1053/j.gastro.2016.02.032.
Bel'mer SV, Havkin AI, Pechkurov DV. Funktsional'nye narusheniia organov pishchevareniia u detei. Printsipy diagnostiki i lecheniia v svete Rimskikh kriteriev IV [Functional disorders of the digestive system in children. Principles of diagnosis and treatment in the light of the Rome IV criteria]. Moscow : GEOTAR-Media; 2018. 160 p. (in Russian).
Zakharova IN, Osmanov IM, Pykov MI, et al. Instrumental diagnosis of functional disorders of the gastrointestinal tract in the practice of a pediatrician and a children's gastroenterologist. Pediatriia. Consilium Medicum. 2018;(1):79-89. doi: 10.26442/2413-8460_2018.1.79-89. (in Russian).
Yulish EI, Chernysheva OE, Krivuschev BI, Glinskaya EV, Levchenko AA. Impairments of motor-evacuation activity of the digestive tract in children and its correction. Sovremennaya pediatriya. 2013;(50):17-19. (in Russian).
Kugler TE. Prospects for using the new technique of ultrasound examination of the stomach with drinking load in the diagnosis of functional dyspepsia. Novosti Meditsiny i Farmatsii. Gastrojenterologiia. 2013;(478):65-68. (in Russian).
Dorofeev AE, Kugler TE, Silakov AI. Research regarding to pathophysiological mechnisms of functional dyspepsia using novel drinking ultrasonography test. Pytannja eksperymental'noi' ta klinichnoi' medycyny. 2013;17(2):14-21. (in Russian).
Terent'eva NG. Motorno-evakuatornaia funktsiia zheludka u zdorovykh i bol'nykh khronicheskimi gastritami detei v razlichnye vozrastnye periody. Diss. kand. med. Nauk [Motor-evacuation function of the stomach in healthy and sick children with chronic gastritis in different age periods. PhD diss.]. Chelyabinsk; 2004. 20 p. (in Russian).
Kiranchuk NV. Gastric motility disorders in children with co-exiting pathology of esophagus and organs of gastroduodenal area. Sovremennaya pediatriya. 2019;(97):30-33. doi: 10.15574/SP.2019.97.30. (in Russian).
Makarova EG, Ukraintsev SE. Functional gastrointestinal disorders in infants: long-tern consequences and modern approaches for prevention and treatment. Pediatricheskaya Farmakologiya. 2017;14(5):392-399. doi: 10.15690/pf.v14i5.1788. (in Russian).
Khavkin AI, Komarova ON. Clinical and pathogenetic variants of antroduodenal motility disorders in children and their medicinal correction. Rossiyskiy Vestnik Perinatologii i Pediatrii. 2015;60(4):119-124. (in Russian).
De Bortoli N, Natali V, Melissari S, Simonetti N, Tapete G, Marchi S. Overlap of GERD and gastrointestinal functional disorders. Minerva Gastroenterol Dietol. 2017 Sep;63(3):205-220. doi: 10.23736/S1121-421X.17.02398-4.
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