Reflux syndrome
Last reviewed: 23.04.2024
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Reflux syndrome is a group of pathological conditions caused by the reverse flow of liquids in hollow organs or vessels, due to a violation in them of a pressure gradient or imperfection of the valve or sphincter system. The process goes passively. The most common reflux syndrome develops in three body systems: the gastrointestinal tract, the venous system and the urinary tract. Surgeons are mostly found with the first two, and urinary tract reflux syndrome is the responsibility of urologists and nephrologists.
[Reflux syndrome in the gastrointestinal tract
Gastroesophageal reflux syndrome - the flow of stomach contents into the esophagus develops when cardiac pulp is deficient, which often develops during hernia or anatomical defect of the muscular ring, i.e. With insufficiency of esophagus-gastric pulp. Reflux syndrome can develop with gastritis, peptic ulcer, cholecystitis, especially during an exacerbation, after resection of the stomach, with stomach cancer and carcinomatosis, can be during pregnancy, i.e. In those cases when gastric motility is disrupted or increased intra-abdominal pressure is created. As a result, esophagitis is formed, up to the formation of a peptic ulcer. The main manifestations: heartburn; sometimes with burning pain, arising in a horizontal or oblique position, usually decreases in the vertical position of the body. Confirmation of the diagnosis - with the help of FGS, and that's enough. Treatment conservative gastroenterologist.
Duodenogastric reflux syndrome develops with peptic ulcer, duodenitis, cholecystitis, pancreatitis, after resection of the stomach. Alkaline environment and bile acids dilute the protective mucus of the stomach with the formation of erosive gastritis, up to the formation of erosive ulcers, and sometimes polyps. It is manifested by a gastritis clinic. Confirmation FGS, and that's enough. Treatment conservative gastroenterologist.
Pancreatobiliary reflux syndrome is formed in the severe pathology of the duodenum and the falcon nipple. With high hypertension in choledoch, pancreatic juice enters the bile ducts, causing severe enzymatic (often with destruction of the walls) cholangitis. This is accompanied by liver damage with the development of jaundice, severe intoxication of the body and requires urgent surgical treatment. Confirmed diagnosis of FGS with the retrograde pancreatoholangiography. Although the state of the bile ducts can let you know ultrasound.
Choledochoconstrictive reflux syndrome can develop only with the combined common biliary and pancreatic ducts in case of pathology of the Fater's nipple and sphincter of Oddi, or in violation of the technique of performing retrograde cholangiography. The entry of bile into the pancreatic duct leads to damage to the wall and the development of severe pancreatonecrosis. Treatment is prompt, urgent, in the department of abdominal surgery.
Reflux syndrome in the venous system
The most commonly observed in the veins of the lower limbs, where it is manifested in the form of varicose veins as a result of insufficient venous valves.