RESUMO
The authors analyze in the article gastroenterology system morbidity of people of Kazakhstan republic. Training of gastroenterologists of the republic is discussed by the authors.
Assuntos
Educação Médica Continuada/métodos , Gastroenterologia/educação , CazaquistãoRESUMO
Angiography conducted in 29 anginal patients has shown that coronary arteries were intact in 23 and little affected in 6 of them. Signs of myocardial ischemia were recorded at myocardial scintigraphy, bicycle ergometry, 24-h ECG monitoring in 17 patients. Esophageal lesions confirmed by endoscopy, manometry, esophageal pH-metry with Bernstein test were revealed in 20 examinees (68%). It is suggested that patients with persistent chest pain and unaffected coronary arteries who are resistant to antianginal therapy should undergo functional study of the esophagus including endoscopy, manometry and pH-metry.