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Chronic gastritis

Over the past 10-15 years in gastroenterology have been significant changes not only in diagnosis and treatment, but also in understanding the very essence of a number of pathological processes.
Chronic gastritis is among the most widespread diseases in the world. According to the results of mass epidemiological surveys find it in about 60 % of the adult population of industrially developed countries. In our country about 1 million patients with chronic gastritis is under medical supervision. However, the true rate it is difficult to define, because the disease may be asymptomatic or with such minor symptoms that the patient gets used to them, not paying attention to them and sees no need to consult a doctor. However, the risk of chronic gastritis is determined not so much by the complaints and dyskinetic disorders and even loss of ability to work, but that long-term current forms of chronic gastritis can be precancerous conditions regardless proceeded whether chronic gastritis latent or symptoms.
As for the prevalence of chronic gastritis in athletes, information about incidence rates among them are contradictory. So, according to the materials of the Republican medical exercises dispensary of the Ukrainian SSR chronic gastritis diagnosed in 45 % of number of gastroenterological patients, and among the same contingent Republican dispensary of the Estonian SSR - 7,8 %.
In the literature of the recent years has not appeared works based on studies of athletes with chronic gastritis. At the same time, a significant number of fundamental works published over the last 10-15 years, clinical gastroenterology allow to bring some clarity on questions of etiology and pathogenesis of chronic gastritis and solve a number of essential tasks. Therefore, the presentation of issues related chronic gastritis in athletes, you need to Preface a few General provisions clinical gastroenterology.
In recent years, on the basis of the achievements of physiology, molecular biology, morphology, and other fundamental Sciences has expanded our knowledge of the subtle mechanisms of regulation of the digestive system in norm and pathology of the organ, cellular and subcellular levels. These achievements have contributed to the introduction into clinical practice of new methods of functional diagnostics with the use of endoscopic, histochemical and electron microscopic studies of gastroduodenal mucosa, as well as new principles of differentiated pathogenetic therapy. Confirmed ideas about the variability of functional-morphological status of the stomach and duodenal ulcers in healthy people, including a young age, what made first of all to review the criteria norms secretory function of the stomach.
For a long time was normal indicators total acidity of gastric juice 40-60 titration units, and free-of 20-40% it Turned out that these figures vary in young healthy people in a wide range (from 40-60 % of them free acid is more than 40 units). Moreover, 50 % of healthy people is detected by the high acidity gastric juice, and half of them have scores free acid within 42-60%, and the rest of this indicator is above 60% and may reach 80-100% and more.
Variability indicators gastric acidity due to constitutional features of neurohumoral regulation and structure of gastric glands.
As for the lower limit of normal free acid, it is clearly defined and is 20 units of low acidity and anatsidnyh a stomach condition in the basal or stimulated phase of secretion in healthy people it is extremely rare and, as a rule, shows the hidden infections of the stomach. Without going into a detailed analysis of the methods of research of gastric juice and evaluation should say that a growing number of researchers propose to fully switch technique intragastric pH-metry. 80 % of healthy young people have intragastric pH in the range of 1.0 to 4.0.
Thus, in healthy young people a number of indicators secretory function of the stomach subject to significant fluctuations, which, apparently, is a reflection of individual standards. Repeatability of performance during repeated surveys reflects typological features of the patient.