Download PDF, EPUB, MOBI Patologicheskaya Fiziologiya Gastroezofageal

Download PDF, EPUB, MOBI Patologicheskaya Fiziologiya Gastroezofageal

Patologicheskaya Fiziologiya Gastroezofageal'noy Reflyuksnoy Bolezni.cLevin Mikhail

Patologicheskaya Fiziologiya Gastroezofageal'noy Reflyuksnoy Bolezni

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Author: Levin Mikhail
Page Count: 60 pages
Published Date: 09 Jan 2013
Publisher: LAP Lambert Academic Publishing
Publication Country: United States
Language: Russian
ISBN: 9783659320071
File size: 47 Mb
File Name: Patologicheskaya.Fiziologiya.Gastroezofageal'noy.Reflyuksnoy.Bolezni.pdf
Download Link: Patologicheskaya Fiziologiya Gastroezofageal'noy Reflyuksnoy Bolezni
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Naibolee tochnym metodom diagnostiki gastroezofageal'noy reflyuksnoy bolezni (GERB) schitaetsya prodlennaya rN-metriya. Vse predstavleniya o patologicheskoy fiziologii zabolevaniya opirayutsya na eto issledovanie. Odnako granitsy normy iznachal'no byli vybrany ne vernymi, tak kak zabolevanie mozhet protekat' bez simptomov i vidimykh izmeneniy pri endoskopii. Predlozhen metod rentgenologicheskogo izmereniya dliny nizhnego pishchevodnogo sfinktera, chto pozvolilo utochnit' normal'nuyu anatomiyu i fiziologiyu pishchevdno-zheludochnogo perekhoda. Na osnovanii novykh kriteriev normy pri rentgenologicheskom issledovanii i analiza literatury predlagaetsya novoe predstavlenie o patologicheskoy fiziologii GERB. Pokazano, chto tak nazyvaemaya skol'zyashchaya ezofageal'naya gryzha, est' nichto inoe kak bol'shikh razmerov ampula pishchevoda. Lyubykh razmerov ampula yavlyaetsya simptomom GERB. A shirina ee proportsional'na tyazhesti zabolevaniya. Pokazano, chto pri rasshirenii ampuly proiskhodit oral'noe smeshchenie slizistoy obolochki, v to vremya kak sokrashchenie prodol'nykh myshts ampuly sushchestvenno ne vliyaet na dlinu pishchevoda.

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