Refractory gastroesophageal reflux. MCSC patient history
NewsPatient V. (35 years old) suffered from heartburn for 10 years. The examination and treatment did not take place. Later, she had complaints of belching air, violation of the passage of solid food through the esophagus, a feeling of a coma behind the sternum, which occurs with a quick intake of solid food.
In the clinic, she underwent a gastroscopy, during which an inflammation of the lower esophagus was revealed. The patient was prescribed medication. In the course of following the recommendations, she did not notice any improvement in her well-being. Due to the ineffectiveness of the treatment, she was referred for consultation to the MCSC named after A. S. Loginov.
- gastroscopy with examination of the esophagus, stomach and duodenum;
- x-ray examination of the upper gastrointestinal tract with barium;
- esophageal pressure gauge.
Based on the results obtained, experts suggested that the patient has a weakening of the tone and peristalsis of the esophagus. But, during the conversation with the doctor, she mentioned that she suffers from a high sensitivity to low temperature (rapid cooling of the fingers with a change in their color). This gave reason to think that she had Raynaud's syndrome. The attending physician referred the patient to the rheumatologists of the MCSC for consultation. They diagnosed a limited form of systemic scleroderma.
Violation of the proper functioning of the esophagus is a frequent manifestation of systemic scleroderma (SSD). According to the "Research Institute of Rheumatology" of the Russian Academy of Medical Sciences in Moscow, inflammation of the walls of the esophagus is noted in every fourth patient with SSD.
#Переведено YandexTranslate
