Most Often (at 50 % Of Patients) Insufficiency

Most often (at 50 % of patients) insufficiency , leading a reflux-ezofagitu and to a gullet ulcer, observe at hernias diaphragm apertures (the section "Hernias diaphragm apertures" see). Reflux-ezofagit : disease - is caused by repeated influences on a mucous membrane - of a gullet of gastric juice, and also bile, intestinal or - pancreatic juice. A disease current or chronic. Aetiology and : the reason the reflux-ezofagita is zheludochno-pishchevodnyj a reflux which at a part of patients - is connected with infringement of switching function physiological -, at others arises after various surgical - interventions (a resection , , a stomach resection, , etc.), . Peptichesky it is most often observed at - hernias diaphragm apertures, it is frequent at a stomach ulcer of a stomach and a duodenal gut, , a stenosis, a cholecystitis. Pathological anatomy: in mild cases mark moderated and a mucous membrane hypostasis, in heavy - - inflammatory changes not only a mucous membrane, but also subject layers, presence of erosion and , hems, in some cases there is a shortening of a gullet of Change are localised mainly in gullet department, they can be , grasping a considerable part of a mucous membrane of a gullet above , and limited.