Gastroesophageal reflux disease

The connection between the stomach and esophagus is via the lower esophageal sphincter or DES.Pri food intake, this connection is granted and so morsel falls in the stomach, then again increases the pressure on the TEU and preventing the return of the food into the esophagus.
Anti-reflux barrier represents anatomical area, which consists of internal pressure of the TEU TEU external compression of the legs of the diaphragm, abdomen available TEU and maintaining a sharp angle at the point of entry of the esophagus into the stomach. The main cause of GERD is the return of gastric juices into the esophagus.
To make this process of the person is required to have a reduction in tone of the LES, and this can occur by the action of various hormones, secretin, glucagon and the like. , Neurotransmitters, food fats, chocolate, alcohol, peppermint, various medications. Unlike physiological relaxation TEU during meals in transition relaxations responsible for reflux in healthy subjects and patients with GERD, no pharyngeal contraction, missing oesophageal peristalsis.
Reasons that may contribute to GERD are hiatal hernia, obesity, syndrome Zollinger-Ellison, systemic sclerosis and dr.Nay important symptoms are burning and acid regurgitation. The burning sensation is retrosternal burning or heartburn, which spreads to the throat and mouth. Most often it occurs after meals or at bedtime on their backs, and the consumption of citrus fruits, coffee, alcohol.
Also there may be pain on swallowing, inflammation of the larynx from regurgitation of gastric contents, cough, erosion of the teeth, pharyngitis, apnea during sleep. Restro sternal pain can be confused with angina. Gastrointestinal origin of pain spoke lack of worsening heart activity occurred primarily after eating or lying on her back, and her consolation after taking antacid medications.
Diagnostic use X-ray of the esophagus with barium. By contrast the movement of the stomach to the esophagus reflux is established.