Diagnostic Principles for Chronic Gastritis Associated with Duodenogastric Reflux

This article systematizes available data from the literature on biliary gastritis (BG) in order to increase the awareness of specialists about the latest possibilities for diagnosing the disease. BG occurs as a result of pathological duodenogastric reflux. In patients with a preserved duodenogastric...

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Bibliographic Details
Published in:Diagnostics (Basel) 2023-01, Vol.13 (2), p.186
Main Authors: Livzan, Maria A, Mozgovoi, Sergei I, Gaus, Olga V, Bordin, Dmitry S, Kononov, Alexei V
Format: Article
Language:English
Subjects:
Bile
bile acids
biliary gastritis
chronic gastritis
Chronic illnesses
Clinical medicine
Dietary fiber
Disease
duodenogastric reflux
Etiology
Fatty acids
Gastroesophageal reflux
Motility
Physiology
reactive gastropathy
Review
Stomach
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Summary:This article systematizes available data from the literature on biliary gastritis (BG) in order to increase the awareness of specialists about the latest possibilities for diagnosing the disease. BG occurs as a result of pathological duodenogastric reflux. In patients with a preserved duodenogastric junction, the dominant factor is represented by motor disorders of the upper digestive tract (primary biliary gastritis), while in patients recovering from surgical interventions it is represented by structural changes (secondary biliary gastritis). Progressive BG can lead to atrophy of the gastric mucosa, intestinal metaplasia, epithelial dysplasia, and eventually to gastric cancer. Diagnostic methods for BG are carried out to identify risk factors, exclude alarm symptoms and identify persistent motor disorders and pathological reflux (24 h pH-impedancemetry, hepatobiliary scintigraphy, 24 h monitoring of bilirubin content in the reflux using a Bilitec 2000 photometer), as well as to diagnose gastritis itself (esophagogastroduodenoscopy, morphological gastrobiopsy examination). The diagnosis of BG should be based on a multidisciplinary approach that combines a thorough analysis of a patient's complaints, an anamnesis of the disease, and the results of endoscopic and histological research methods.
ISSN:2075-4418
2075-4418
DOI:10.3390/diagnostics13020186