This year the Congress of the Society of Gastroenterology took place - the largest of the regular forums of the community of gastroenterologists. The Society of Gastroenterology has existed for more than 100 years and is the third in the world in terms of time of creation. Its congresses are held every two years, each time in a different university city, and attract the attention of doctors of various speci alties - gastroenterologists, surgeons, endoscopists, family doctors, pediatricians, as well as specialists dealing with theoretical, fundamental problems of the physiology and pathology of the digestive system.
Development of new world methods of gastritis treatment
The main goal of the congress was the continuous training of doctors and improving their professional level - the reports were of a lecture nature and introduced doctors to the current level of knowledge about the diagnosis and treatment of diseases of the digestive system, national, European and world instructions for the actions necessary in the case when the patient is affected by the antrum (stomach). More than 1500 specialists took part in the congress. Among others, the congress was attended by a group of doctorsendoscopists from Russia.
Helicobacter pylori pylori (Helicobacter pylori) - common cause of gastritis
Because the vast majority of the adult population is infected with Helicobacter pylori (and therefore has at least the morphological features of chronic gastritis), in many Western countries the diagnosis of chronic gastritis of the antrum is not considered clinical. This is a morphological concept, and in the case of clinical signs of pathology, it is considered as functional (non-ulcerative) dyspepsia. The favorite localization of Helicobacter pylori, as you know, is the antrum (stomach), so chronic Helicobacter pylori gastritis usually begins with a lesion of the antrum.
Given that there are no main and parietal cells in the antrum of the gastric mucosa, it is clear that gastritis is not accompanied by hypoacidity. On the contrary, Helicobacter pylori is able to stimulate G-cells, increase gastrin production, and cause a polyp in the antrum of the stomach. It is for this reason that antral gastritis is often combined with a duodenal ulcer.
However, prolonged persistence of Helicobacter pylori in the antrum leads to atrophic changes in this area, and Helicobacter pylori gradually move in the proximal direction, which causes an ulcer of the antrum. This leads to a gradual atrophy of the epithelium of the body of the stomach, which is manifested, in particular, by a decrease in the number of main andparietal cells, and hence gastric secretion.
Given the above pathogenetic aspects, it is understandable why the generally accepted classification of chronic gastritis is Sydney-Houston, 1996. The main form of chronic gastritis is non-atrophic (antral) gastritis, when the antrum (stomach) is affected and there is no secretory insufficiency.
Chronic pancreatitis
Chronic pancreatitis is a chronic inflammation, damage to the pancreatic tissue with destruction of its parenchyma, fibrosis and, in the later stages, destruction of the endocrine parenchyma. The frequency of chronic pancreatitis when the antrum (stomach) is affected is 6-9%. Chronic pancreatitis becomes such if the pathological process lasts more than 6 months.
Classification: alcoholic pancreatitis, chronic recurrent pancreatitis, infectious, hereditary, idiopathic, autoimmune.
Etiology: alcoholism; violation of the diet (fatty, fried foods); periodic hypotension with cold sweat, fainting; intestinal paresis; syndrome of compression of adjacent organs: jaundice, duodenostasis, splenomegaly.
Diagnosis: complete blood count: leukocytosis, accelerated ESR, eosinophilia.
New trends in the treatment of chronic gastritis
Among the successful directions in the treatment of chronic atrophic gastritis, replacement therapy should be mentioned, but it is difficult to carry it out today due tolack of drugs to correct the insufficiency of the production of pepsin and hydrochloric acid by gastric cells (one of the drugs of this direction - "Acidin-pepsin" - is rarely found in pharmacies lately). One of the components of the treatment of chronic gastritis with low acidity are enzyme preparations, which to a certain extent compensate for digestive disorders. They are effective in erosion of the antrum of the stomach. These include Panzinorm. For the treatment of such patients, drugs are used that normalize the motor function of the stomach. Some patients are prescribed Sucralfate (Venter) and bismuth preparations to improve the cytoprotective properties of the gastric epithelium. In case of dysbiotic changes, eubiotics or probiotics are added.
Treatment with gastric drops
A promising treatment for patients in gastroenterological departments today is the use of antioxidants, in particular vitamins A, E, C. However, today they recommend patients not decoctions or tinctures, but ready-made phytopreparations prepared from mixtures of medicinal herbs. Among them, the drug "gastric drops" deserves attention. There are several varieties of it (choleretic, cardiac, soothing, etc.). One of these varieties in the form of gastric drops is intended for the treatment of patients with chronic gastritis with secretory insufficiency and erosion of the antrum of the stomach. The drug "stomach drops" consists of 4 plant components. 2 components (roots of gentian yellowand centaury grass) is bitter, 2 more (chamomile flowers and caraway seeds) have an antispasmodic effect.
Where is the antrum (stomach) treated?
The Gastroenterological Department performs diagnostic, consultative, organizational and methodological work on the provision of specialized inpatient care to patients with a gastroenterological profile. Provides emergency assistance to patients with gastroenterological diseases.
Conducts a complex of rehabilitation measures aimed at social and labor adaptation of gastroenterological patients. Introduces new achievements in the provision of medical care for diseases of the digestive system into clinical practice and analyzes the effectiveness of their implementation.
Prepares and conducts scientific and practical conferences, seminars are aimed at introducing the results of scientific research into the practice of the gastroenterological service. The organization of the work of the department is determined by the regulation on the gastroenterological department.
Scheduled hospitalization in the department is carried out in the direction of gastroenterological offices, district therapists, general practitioners of family medicine of the city.
Patients with chronic diseases of the digestive system are sent to the department. Hospitalization for emergency indications is carried out in the direction of ambulance teams, the doctor on duty.
