Connective tissue dysplasia as a cause of gastroesophageal reflux disease
https://doi.org/10.25789/YMJ.2021.75.27
Abstract
The article presents a clinical case of detecting gastric metaplasia of the esophageal mucosa in combination with anatomophysiological changes in the organs of the gastroduodenal zone in a young woman with no bad habits, hereditary burden and other risk factors for reflux disease.
Pronounced changes in the osteoarticular apparatus in combination with changes in the skin, muscles and disorders of the internal organs suggest that this patient may have connective tissue dysplasia.
The patient underwent the endoscopic ablation of pathologically altered esophageal mucosa, followed by the appointment of an esophageal protector in order to maintain stable remission.
About the Authors
A. S. AsekritovaRussian Federation
Asekritova Aleksandra Stepanovna – Candidate of Sciences in Medicine, Associate Professor of the Department of Internal Diseases and General Medical Practice (Family Medicine)
E. A. Emelyanova
Russian Federation
Emelyanova Elvira Andreevna – Candidate of Sciences in Medicine, Associate Professor of the Department of Hospital Therapy, Occupational Diseases and Clinical Pharmacology
A. A. Afanasyeva
Russian Federation
Afanasyeva Aelita Aleksandrovna – Resident of the Department of Internal Medicine and General Medical Practice (Family Medicine)
References
1. Diagnostics, medical management, screening and monitoring of Barrett's esophagus / I.L. Klyaritskaya, YU.A. Moshko, E.V. Maksimova, E.O. SHelihova // Krymsky therapeutic journal.- 2019; 4; P. 23-31.
2. Connective tissue dysplasia in the practice of primary care physicians: A guide for physicians / V.M. YAkovlev, G.I. Nechaeva, A.I. Martynov, I.A. Viktorova M.: KST Interforum. - 2016; 520 p.
3. Zatevahin I.I. Abdominal Surgery: National Guidelines: A Brief Edition / pod red. I. I. Zatevahina, A.I. Kirienko, V.A. Kubyshkina – M.: GEOTAR-Media. - 2016; 912 p. ISBN 978-5-9704-3630-1.
4. Clinical guidelines of the Russian scientific medical society of physicians for the diagnosis, treatment and rehabilitation of patients with connective tissue dysplasia (first revision) //Medical Bulletin of North Caucasus. - 2018; 1.2(13); P. 137-210. DOI – https://doi.org/10.14300/mnnc.2018.13037
5. Clinical and biochemical signs of connective tissue dysplasia in children with gastroesophageal reflux disease / YU.S. Apenchenko, N.V. Basalaeva, L.V. Kapustina, I.I. Ivanova // Bulletin of Ivanovsky medical academy. - 2014; 3(19); P. 17-19.
6. Connective tissue dysplasia: cardiovascular changes, modern approaches to diagnosis and treatment/ G.I. Nechaeva, A.I. Martynov, E.V. Akatova [et al.]. – Moscow: Edition ‘Medical information agency’. - 2017; 400 p. ISBN 9785894819969.
7. Mishchuk V.G. Features of manifestations of the syndrome of undifferentiated connective tissue dysplasia and indicators of collagen metabolism when combined with gastroesophageal reflux disease / V.G. Mishchuk, I. B. Romash // Modern gastroenterology.- 2019;3(107); P. 19-25. DOI 10.30978/MG-2019-3-19.
8. Features of manifestations of diseases of the digestive tract in children with connective tissue dysplasia / I.I. Ivanova, S.F. Gnusaev, YU.S. Apenchenko [et al.] // Issues of modern pediatrics. - 2012;5(11); P. 50-55.
9. Recommendations of the Russian Gastroenterological Association for the diagnosis and treatment of gastroesophageal reflux disease / V.T. Ivashkin, I.V. Maev, A.S. Truhmanov [et al.] // Russian journal of gastroenterology, hepatology, coloproctology. - 2020; 4(30); P. 70-79. DOI 10.22416/1382-4376-2020-30-4-70-97.
10. Surgical treatment of Barrett's esophagus taking into account molecular genetic changes / A.F. CHernousov, T.V. Horobryh, M.V. Nemcova [et al.] // Uspensky’s readings: materials of scientific-practical. conf. of doctors of Russia with international participation, dedicated to 60th anniversary of the Department of General Surgery of the Tver State. Med. University. Ed. by E.M. Mokhov. - 2015; 90 p.
11. Shihnabaeva M.D. Clinical, endoscopic and immunological features of gastroesophageal reflux disease associated with connective tissue dysplasia syndrome in adolescents / Abstr. dis. ... cand. medical sciences / Dagestan. State Med. Un-y. - Mahachkala - 2017.
12. Clarrett DM, Hachem C. Gastroesophageal Reflux Disease (GERD). Mo Med. 2018 MayJun;115(3):214-218. PMID: 30228725; PMCID: PMC6140167.
Review
For citations:
Asekritova A.S., Emelyanova E.A., Afanasyeva A.A. Connective tissue dysplasia as a cause of gastroesophageal reflux disease. Yakut Medical Journal. 2021;(3):108-111. https://doi.org/10.25789/YMJ.2021.75.27