MECHANISMS OF THE FORMATION OF MOTOR-SECRETORY DISORDERS IN PATIENTS WITH GERD WITH CONCOMITANT AIT

OBJECTIVE

The aim: The aim of this work was to study the effect of thyroid hormones on motor-secretory dysfunction in patients with GERD with concomitant AIT.

PATIENTS AND METHODS

Materials and methods: The study involved three groups of patients: with isolated GERD, GERD with AIT at the stage of hypothyroidism and GERD with AIT at the stage of hyperthyroidism. The control group consisted of 15 practically healthy individuals. GERD and AIT were diagnosed on the basis of ICD-10. All patients underwent a comprehensive examination, including ultrasound examination of the motor-evacuation function of the esophagus and stomach. Quality of life of patients was assessed by using the GIQLI questionnaire.

RESULTS

Results: The most expressed complaints and low quality of life are observed among patients with combined pathology. The results of pH-metry indicate more severe course of GERD among patients with concomitant AIT. The most pronounced decrease in the tone of the lower esophageal sphincter and increased regurgitation were observed in the second group.

CONCLUSION

Conclusions: 1. It was found that more reliable motor-secretory disorders were observed among patients with GERD with concomitant AIT. 2. A close correlation was established between the severity of the clinical picture, the level of increased thyroid hormones and the degree of impairment of motor-secretory disorders among patients with GERD with concomitant AIT; 3. The results obtained indicate that changes in the metabolism of thyroid hormones are one of the factors involved in the mechanisms of GERD formation.

[MEDICAL AND SOCIAL CHARACTERISTICS OF PATIENTS WITH TUBERCULOSIS IN THE CONTEXT OF ALCOHOL CONSUMPTION]

The objective of the research was to study the clinical data of patients with firstly diagnosed pulmonary tuberculosis (FDTB) and different levels of alcohol consumption. The study involved 102 patients with FDTB and alcohol consumption. According to the results of the AUDIT questionnaire, patients were divided into three groups. Group 1 - persons who scored 0-7 points according to the test results, group 2 - 8-15 points and group 3 - 16 points or more. The results of the study showed that patients of group 3 are more socially deprived. Alcohol abuse in patients with tuberculosis was significantly more often (p<0.05) associated with late detection of active tuberculosis, the severity of respiratory complaints, a higher involved of lung tissue in patological process according to the results of x-ray examinations, a tendency to form multiple cavities and a greater massiveness of bacterial excretion compared to groups of low-drinkers and moderate use of alcohol. Patients with FDTB who consume alcohol with a health hazard and abuse alcohol have a decrease in social adaptation and prevalence of common forms of tuberculosis with massive bacterial excretion. The fact they are more likely to develop progressive forms of the disease is a serious public health problem. Therefore, special attention aimed at the prevention of tuberculosis in this cohort of patients is necessary and justified.