Chronic gastrite: modern state of the problem

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Abstract

Aim. Тo evaluate the modern view on the problem of chronic gastritis and the effectiveness of the drug ursodexic acid (UHC) Grinterol in the treatment of patients with chronic antral reflux-gastritis (biliar).

Materials and methods. The work provides modern ideas about chronic gastritis, the issues of etiology and pathogenesis are considered. Contemporary classifications and the attitude of the authors of the work to them are presented. Clinical studies were conducted in 50 patients with chronic antral reflux-gastritis biliary (32 women and 18 men) between the ages of 20 and 80 years (average age – 50.3 to 8.0 years). The treatment uses the drug Grinterol in a daily dose of 12.5 mg/kg of body weight for 4 weeks.

Results. Among patients with chronic antral gastritis isolated patients with reflux-gastritis biliary, the pathogenetic factor of which is the damaging property of aggressive bile acids. The main treatment for such patients are drugs UHC (in this study (this study uses Grinterol at a daily dose of 12.5 mg/kg of body weight); the duration of treatment is 4 years. The overall efficiency (according to endomorphological data) was 76%, according to clinical data – 100%.

Discussion. Critical consideration of the classifications used and proposed for consideration indicates that the time has come for the adoption of a new classification with the allocation of reflux-gastritis biliary. Treatment of this form of antral gastritis is effective with UDHC drugs.

Conclusion. the selection of a form of antral reflux-gastritis biliar in a separate classification group is scientifically justified. The results suggest that for the treatment of patients with chronic biliary refluxdrugs of choice are drugs UDHC.

About the authors

O. N. Minushkin

Central State Medical Academy of Department of Presidential Affairs

Author for correspondence.
Email: oleg.minushkin@bk.ru
ORCID iD: 0000-0002-7723-7992

д.м.н., проф., зав. каф. гастроэнтерологии ЦГМА

Russian Federation, Moscow

I. V. Zverkov

Central State Medical Academy of Department of Presidential Affairs

Email: oleg.minushkin@bk.ru
ORCID iD: 0000-0001-6210-8955

д.м.н., проф. каф. гастроэнтерологии ЦГМА

Russian Federation, Moscow

N. V. Lvova

Moscow Research and Practical Centre for of Medical Rehabilitation, Restorative and Sports Medicine

Email: oleg.minushkin@bk.ru
ORCID iD: 0000-0002-0840-4590

к.м.н., вед. науч. сотр. МНПЦМРВСМ

Russian Federation, Moscow

Yu. S. Skibina

Central State Medical Academy of Department of Presidential Affairs

Email: oleg.minushkin@bk.ru
ORCID iD: 0000-0002-3946-4983

к.м.н., врач-лаборант каф. гастроэнтерологии

Russian Federation, Moscow

V. S. Inevatova

ICC Chekhov Branch

Email: oleg.minushkin@bk.ru
ORCID iD: 0000-0002-9678-342X

зав. отд. гастроэнтерологии АО «МЦК Чеховский филиал»

Russian Federation, Chekhov

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