MANAGEMENT OF PATIENT WITH GASTROESOPHAGEAL REFLUX DISEASE


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Abstract

The article presents modern data on prevalence, basic mechanisms of development and tactics of conducting patients with gastroesophageal reflux disease (GERD). Effectiveness of primary and maintenance therapy with proton pump inhibitors (PPI) was analyzed. Author demonstrates the role of kinetic disorders and especially the composition of reluctate, in particular the presence of duodenal contents, in the lack of effectiveness of treatment of patients with GERD. The necessity of adding to antisecretory therapy PPI and prokinetics drugs ursodesoxycholic-howling acid for the correction of these pathogenetic mechanisms is justified.

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About the authors

Yelena Yurevna YEREMINA

N.P. Ogarev Mordovia State University

Email: eeu610mail.ru
MD, Professor, Head of the Department of Internal Medicine Propaedeutics; the Chief gastroenterologist of Ministry of Health of the Mordovia Republic 430005, Republic of Mordovia, Saransk, 68 Bolshevistskaya St

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