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Gastro-enteric reflux is a functional disorder of the gastrointestinal tract. Enterogastric reflux occurs when the alkaline content of the duodenum along with the bile s alts, instead of traveling to the small intestine, flows back into the stomach. There, it mixes with digestive acids and has a toxic effect on the mucosa of this organ.
Entero-gastric reflux( duodenogastric reflux ) often occurs in patients who have had their gallbladder removed. But there are more reasons for the appearance of gastrointestinal reflux.
Gastro-gastric reflux: causes
The causes of gastrointestinal reflux are not entirely clear. Reflux is probably caused by disturbances in the work of the nerves reaching the duodenum and bile ducts (therefore, reflux is common in patients after removal of the gallbladder). In addition, excessive pyloric relaxation, a change in its motility or a decrease in the strength of peristalsis may be responsible.
Duodenogastric reflux may cause, among others, hyperplasia (hyperplasia) of the stomach, vasodilation and blood stagnation. In addition, penetrating bile affects the secretion of prostaglandins, which are responsible for the activity of defense mechanisms of the gastric mucosa.
Gastro-gastric reflux: symptoms
Gastro-gastric reflux primarily causes very unpleasant upper abdominal pain accompanied by vomiting with bile.
Gastro-gastric reflux: diagnosis
The diagnosis is made on the basis of radioisotope tests (the so-called Hida test). The patient eats a meal containing an isotope marker, which stains the content of the duodenum, which is then visible on the radiograph taken later. It can be seen whether the contents of the duodenum are regurgitating into the stomach. The doctor may also order a bilitec test, i.e. a measurement of the amount of bile in the stomach during the day. A probe connected to a small recorder is inserted through the nose through the nose under local anesthesia. If bile retracts from the duodenum, it will note that the amount in the stomach increases.
Gastro-gastric reflux: treatment
The gastroenterologist decides about the treatment of gastrointestinal reflux. Among the drugs, proton pump inhibitors and propulsive drugs are usually used. InhibitorsThe proton pumps inhibit the production of hydrochloric acid, thereby increasing the pH in the stomach. Propulsive drugs increase intestinal peristalsis, which reduces the flow of bile from the duodenum into the stomach. Relatively rarely, reflux is treated surgically.
Gastro-gastric reflux: diet is the key
In the treatment of gastrointestinal reflux, a proper, easily digestible diet is extremely important, with meals should be small, eaten 5-6 times a day, preferably at fixed times. Carbonated drinks, spicy spices, coffee, tea and cigarettes should be excluded from your diet.
We talk about gastro-oesophageal reflux when gastro-gastric reflux is accompanied by gastro-oesophageal reflux. This happens when the pressure in the stomach is much higher than in the esophagus, i.e. in the case of incorrect pressure compensation: stomach-esophagus through the cardia mechanism.