| Popis: |
To demonstrate clinical manifestations of GERD in smoking patients, we examined 67 smoking patients - 26 men who were between 18 to 71 years (median age 52,4 ± 9,1) and 41 women who were between 19 to 69 years (median age 44,3 ± 7,9), as well as 34 non-smoking patients - 13 men who were between 21 to 68 years (median age 53,1 ± 8,4) and 21 women who were between 20 to 72 years (median age 46,1 ± 8,2) suffering from GERD. GERD diagnosis in all patients was established under the Montreal definition and confirmed by esophagogastroduodenoscopy (showed signs of reflux esophagitis). All of the surveyed persons other than the standard clinical and instrumental examination applied our proposed original questionnaire for smoking patients with GERD, which takes into account esophageal and extraesophageal complaints. The survey showed that in the group of patients who smoke heartburn observed in 1.23 times, sour belching 1.6 times, belching air 1.24 times, dysphagia 2.1 times, painful swallowing 2.4 times, the feeling of a lump in the throat 1.23 times, coughing 1.97 times, chest pain 1.5 times, shortness of breath while lying 1.63 times, bloating 1.31 times, nausea 1.5 times more often, hoarseness 1,3 times are more likely than in the group of non-smokers patients. At the same time, the frequency of complaints of pain in the epigastric region, oral erosions in both groups was similar. Salivation and vomiting in 1.42 and 1.43 times, respectively, more often observed in non-smoking patients. Smoking has a significant impact on the incidence and nature of complaints in patients with GERD. |
