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Analysis of ions and organic acids in saliva in diagnostics of gastroesophageal reflux disease

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KONEČNÝ Štefan DOSEDĚLOVÁ Věra ĎURČ Pavol DOLINA Jiří FORET František KUBÁŇ Petr

Rok publikování 2020
Druh Konferenční abstrakty
Fakulta / Pracoviště MU

Lékařská fakulta

Citace
Popis Introduction: Gastroesophageal reflux disease (GERD) is a disease caused by backflow of gastric contents into the esophagus due to the failure of physiological antireflux mechanisms and can lead to esophageal and extraesophageal symptomatology. At the current time, the gold standard in diagnostics of GERD is 24-hour multichannel intraluminal impedance and pH monitoring (MII-pH) that is invasive, time consuming and expensive diagnostic method with not clear relevance in diagnostics of extraesophageal reflux (EER) and there is a need for new faster, cheaper and more sensitive diagnostic method for detection of EER. New potential target in diagnostic of GERD is saliva. One of the saliva’s protective mechanism during a reflux episode is neutralization of gastric acid by various buffering systems. Bicarbonate and phosphate constitute major salivary buffering components. Since reflux episodes occur more frequently and have a longer duration in patients having GERD, our study investigates the hypothesis that bicarbonate and phosphate ions might be elevated in saliva.
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