Morphological Justification for Simultaneous Correction of Chronic Disorders of Duodenal Patency and Failure Bauhinias Flap in the Prevention of Guidance in the Esophagus and Stomach

Vladimir Leonidovich Martynov*

Received:March 22, 2019;   Published: March 29, 2019

DOI: 10.32474/CTGH.2018.02.000134

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Abstract

In 37 patients under NBZ and HNDP conditions, 158 biopsy samples were taken from the esophagus SB (N = 29), cardial section of the stomach (N = 20), fundus of the stomach (N = 36), antrum (N = 36), with endoscopic examination. 12 - PC (N = 37). The morphological study revealed inflammatory changes in the mucous membrane of the upper digestive tract in all patients, its superficial inflammation was determined only in 29 preparations, diffuse inflammation (on all layers of the mucous membrane) - in 129 biopsies (82%), the active stage of inflammation - in 102 (65 %), atrophy - in 6, erosion - in 1 case. The obtained data reveal significant morphological changes in the mucous membrane of the digestive tract in conditions of reflux disease. A morphological analysis of the state of the mucous membrane of the esophagus, stomach, and 12-PC, performed in 12 patients before and after surgery, confirms the normalizing effect of PD in combination with DES, as the most adequate surgical tool for treating RB, on the indicated gastrointestinal sections.

Keywords: Chronic Violation of Duodenal Permeability; Failure of the Bauhinia Valve; Morphological Changes in the Mucous Membrane of the Esophagus and Stomach in Conditions Of Reflux Disease; Surgery of Reflux Disease; Prevention of Cancer of the Esophagus and Stomach

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