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Objective. To study the state of the enteral parietal microbiota and to assess the conjugacy of its changes with motor-evacuation disorder of the gastrointestinal tract (gastrointestinal tract) in chronic duodenal insufficiency.Materials and methods. The study included 40 patients with chronic duodenal insufficiency (CDN). Of these, 21 (52.5%) were women, 19 (47.5%) were men, the average age was 37.1± 13.8 years. CDN was diagnosed using anamnestic and physical data, X-ray and endoscopic examinations, intracavitary manometry. Enzyme immunoassay determined vitamin B12, 25-OH Vitamin D, transferrin. The study of the motor function of the gastrointestinal tract was carried out using the gastroenteromonitor “Gastroscan-GEM”. The method of gas chromatography with mass spectrometry was used to study the enteral wall microbiota.The results of the study. The blood showed a decrease in fat-soluble vitamins B12 and 25-OH vitamin D in relation to control. There was a decrease in the transferrin saturation coefficient (13.2%) compared to the control group (34.7%, p=0.04). Gastroenteromonitoring on the device “Gastroscan-GEM” showed a decrease in the coefficients of rhythmicity in the stomach and DPC in the fasting and postprandial periods. Chromass spectrometric analysis of resident microflora in patients with CDN revealed a significant decrease in Lactobacillus spp 1245.3± 0.21 cl/g x 10^3 and Bifidobacterium spp 1453.2± 0.18cl/g x 10^3 against the background of pronounced growth of bacteria of the genus Clostridium, Eggerthella lenta 412.3± 0.84cl/g x 10^3, Propionibacterium acnes 58.6± 0.32cl /g x 10^3, Propionibacterium freudenreichii 2388.7± 0.62 cl/g x 10^3, Propionibacterium jenseni 146.6±0.32 cl/g x 10^3, Staphylococcus spp 658.4± 0.28 cl/g x 10^3, Streptococcus mutans (anaerobic) 494.3±0.74 cl/g x 10^3, Streptomyces spp. 305.3±0.26 cl/g x 10^3. It was shown that the increased growth of pathogenic microflora was associated with a violation of the rhythm of duodenal motility.Conclusion. In patients with chronic duodenal insufficiency, a pronounced growth of parietal pathogenic microflora was detected, depending on the state of motor activity of the duodenum. |
