The assessment of clinical manifestations of gastroesophageal reflux disease (GERD) among Mongolians
Ts. Sarantuya, G. Enkhdolgor, L. Lkhagva, L. Gultsog
Health Sciences University of Mongolia
The new millenium has distinct changes in the pattern of gastrointestinal disease in the Asian Pacific region. In Mongolia, increasing interest of gastroesophageal reflux disease related to the availability of new methods of investigation and modalities of treatment. Since 1999 year, 24-h-pH-мonitoring has gained clinical use in the identification of gastroesophageal reflux disease in our country.
Our aim was to assess clinical manifestations and classify of hospital-based gastroesophageal reflux disease among Mongolians In this prospective study, we collected 172 outpatients with gastroesophageal reflux disease. Diagnosis was considered by combination of three criteria - clinical, endoscopic and pH-metric. Gastroesophageal reflux disease was graded according to the severity of esophagitis using Los Angeles classification. All individual parameters of esophageal pH monitoring, such as frequency of all or only long reflux episodes, and an overall summary score of pH-metry.
The morphological and physiological findings of four groups of gastroesophageal reflux disease patients in Mongolia are presenting the various clinical forms of gastroesophageal reflux disease, which differentiated by activity of reflux esophagitis. occurrence of Barrett's esophagus, presence of H.pylori infection, and severity of acid reflux episodes. We recorded that peculiarity of hospital based gastroesophageal reflux disease in Mongolia with association of gastroduodenal pathology.
Keywords: gastroesophageal reflux disease, reflux esophagitis, Barrett's esophagus.