DUODENOGASTRAL REFLUX AND CHOLELITHIASIS: PATHOGENETIC, CLINICAL AND MORPHOLOGICAL RELATIONSHIPS
Abstract
This article discusses in detail the concept of duodenogastric reflux, epidemiological data and pathogenetic aspects of this condition, including the role of changes in neurohumoral regulation, cell adhesion molecules, and the influence of Helicobacter pylori. The data on the components of duodenal refluxate, as well as their features of their effect on the gastric mucosa are presented. In addition, the article describes the algorithms for diagnosing chemical gastritis, the features of histopathological changes in chemical gastritis, the use of calculated indices in histological examination, and possible approaches to therapy.