Utjecaj želučanog refluksa na patologiju usne šupljine

master's thesis

• Author: Vanja Stojisavljević
• Mentor: Miroslav Bekavac-Bešlin (mentor)
• Granter: University of Zagreb; School of Dental Medicine; Zagreb
• Defense date and country: 2004, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Surgery

Abstract

Gastroezofagealni refluks jedan je od najčešćih problema na koje nailaze liječnici opće prakse. Najvažniji simptom GERB-a je žgaravica, iako postoji niz stanja koja mogu upućivati na refluks. Ovaj rad se bavi želučanim refluksom, njegovim tipičnim i atipičnim simptomima, s posebnim osvrtom na utjecaj refluksa na usnu šupljinu. Patofiziologija GERB-a se bavi oštećenjem antirefluksne barijere, što dovodi do refluksa. Najvažniju ulogu ima donji sfinkter jednjaka. Liječenje ove bolesti se provodi konzervativnim i kirurškim putem. Pacijenti najčešće dobro reagiraju na antirefluksnu terapiju lijekovima, a u određenim slučajevima se primjenjuje kirurška terapija. Ona ima jako dobre rezultate i pacijenti ne moraju doživotno uzimati lijekove, što ujedno i smanjuje troškove liječenja. Kod atipičnih simptoma u radu se spominju disfagija i erozija zubi. Erozija je problem koji se pravovremeno ne dijagnosticira ili se ne otkrije njen uzrok. Kako je ona ireverzibilan proces takvi propusti dovode do bezpovratnog gubitka zubne mase. Rješenje je u dijagnosticiranju i liječenju osnovne bolesti. Na taj se način spriječava razvijanje što tipičnih što atipičnih simptoma i napredovanje bolesti.

Abstract (english)

Gastroesophageal reflux disease ( GERD ) is the most common condition with heartburn as the main symptom, although there are many other symptoms which can indicate the reflux disease. This paper deals with gastroesophageal reflux, its typical and atypical symptoms, and the kind of influence it has on oral cavity. Lower esophageal sphincter ( LES ) is the most important mechanism in the pathophisiology of GERD. Disfunction of the LES is responsible for the reflux. The treatment of this disease can be done by medicaments or surgery. Patients respond well to the medical treatment, but in some cases surgical method is a better solution and what is more patients do not have to take medicines afterwards. It also reduces the costs of the treatment. Dysphagia and teeth erosion are atypical symptoms also discussed in this paper. Erosion is a problem that is irretrievable and so is the loss of the tooth substance. The right diagnosis and adequate treatment of the mentioned disease (GERD) is the solution to the problem of erosion, thus preventing its progress and posible symptoms.

• Keywords: gastroezofagealni refluks; usna šupljina
• Keywords (english): Gastroesophageal Reflux; Mouth
• Language: croatian
• URN:NBN: urn:nbn:hr:127:687766
• Study programme: Title: Integrated undergraduate and graduate university study of Dental Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor dentalne medicine (doktor dentalne medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Closed access
• Created on: 2024-06-17 09:31:28