Results of the inclusion of osteopathic correction in the complex therapy of patients with chronic gastritis
https://doi.org/10.32885/2220-0975-2021-1-80-89
Abstract
Introduction. Many key questions regarding the etiology, pathogenesis, clinical manifestations and treatment of chronic gastritis remain open. So, despite the success of chronic gastritis pharmacotherapy, much attention is paid to non-drug methods of therapy, in particular, osteopathy. However, evidences of the osteopathic methods effectiveness for the chronic gastritis treatment, obtained by objective instrumental methods, are insufficiently presented in the modern literature.
The goal of research — to study the results of osteopathic correction inclusion in the complex therapy of patients with chronic gastritis.
Materials and methods. The study involved 50 patients with chronic gastritis, divided by simple randomization into a control group (25 people) and a main group (25 people). The participants in the control group received standard eradication therapy according to a three-component scheme. The participants of the main group additionally received osteopathic correction. In both groups, at the beginning and at the end of the study, there were performed fibroesophagogastroduodenoscopy with targeted biopsy to assess the gastric mucosa state, Helicobacter pylori identification, and intragastric pH-metry to assess gastric juice acidity.
Results. According to the study results, a statistically significant (p<0,05) decrease in edema and hyperemia of gastric mucosa was found in the control and main groups. There was a statistically significant (p<0,001) decrease in gastric aciditywith osteopathic accompaniment, compared with unaccompanied drug treatment. In both groups, there was a statistically significant (p<0,05) decrease in the incidence of Helicobacter pylori carriage.
Conclusion. Based on the obtained results, it can be assumed that an integrated approach using osteopathic correction in the treatment of chronic gastritis may be more effective than the standard course of treatment.
About the Authors
R. T. Fazlyakhmetov
LLC «ArskMed»
Russian Federation
Russian Federation
Rustem T. Fazlyakhmetov, osteopathic physician
bld. 18 ul. Pochtovaya, Arsk, 422000
R. R. Safiullin
LLC «Prodlit′ zhizn»
Russian Federation
Russian Federation
Rinat R. Safiullin, doctor of sports medicine and exercise therapy, osteopathic physician
bld. 52 ul. Dostoevsky, Kazan, 420043
A. V. Ustinov
Institute of Osteopathy
Russian Federation
Russian Federation
Aleksei V. Ustinov, lecturer
bld. 1A ul. Degtyarnaya, Saint-Petersburg, 191024
References
1. Helicobacter pylori Eradication as a Strategy for Preventing Gastric Cancer. Int. Agen. Res. Cancer Working Group Reports. Vol. 8. Lyon, France: IARC Helicobacter pylori Working Group; 2013; 192 p. Accessed October 01, 2020. https://publications.iarc.fr/Book-And-Report-Series/Iarc-Working-Group-Reports/-Em-Helicobacter-Pylori-Em-Eradication-As-A-Strategy-For-Preventing-Gastric-Cancer-2014
2. Malfertheiner P. Diagnostic methods for H. pylori infection: choices, opportunities and pitfalls. United Europ. Gastroenterol. J. 2015; 3 (5): 429–431. https://doi.org/10.1177/2050640615600968
3. Malfertheiner P., Bazzoli F., Delchier J. C.,Celiñski K., Giguère M., Rivière M., Mégraud F. Helicobacter pylori eradication with a capsule containing bismuth subcitrate potassium, metronidazole, and tetracycline given with omeprazole versus clarithromycinbased triple therapy: a randomised, open-label, noninferiority, phase 3 trial. Lancet. 2011; 377 (9769): 905–913. https://doi.org/10.1016/s0140-6736(11)60020-2
4. Ivashkin V. T., Sheptulin A. A., Mayev I. V., Baranskaya Y. K., Trukhmanov A. S., Lapina T. L., Burkov S. G., Kalinin A. V., Tkachev A. V. Diagnostics and treatment of peptic ulcer: clinical guidelines of the Russian gastroenterological Association. Russ. J. Gastroenterol. Hepatol. Coloproctol. 2016; 26 (6): 40–54 (in russ.). https://doi.org/10.22416/1382-4376-2016-26-6-40-54
5. Ivashkin V. T., Maev I. V., Lapina T. L., Sheptulin A. A. Recommendations of the Russian Gastroenterological Association for the diagnosis and treatment of Helicobacter pylori infection in adults. Russ. J. Gastroenterol. Hepatol. Coloproctol. 2012; 22 (1): 87–89 (in russ.).
6. Sugano K., Tack J., Kuipers E. J.,Graham D. Y., El-Omar E. M., Miura S., Haruma K., Asaka M., Uemura N., Malfertheiner P. Kyoto global consensus report on Helicobacter pylori gastritis. Gut. 2015; 64 (9): 1353–1367. https://doi.org/10.1136/gutjnl-2015-309252
7. Fallone C. A., Chiba N., van Zanten S. V., Fischbach L., Gisbert J. P., Hunt R. H., Jones N. L., Render C., Leontiadis G. I., Moayyedi P., Marshall J. K. The Toronto Consensus for the treatment of Helicobacter pylori infection in adults. Gastroenterology. 2016; 151 (1): 51-69.e14. https://doi.org/10.1053/j.gastro.2016.04.006
8. Ivashkin V. T., Stepanov E. V., Baranskaya E. K., Lapshin A. V. Laser 13C-urease breath test in assessment of H. pyloriassociated diseases therapy results. Russ. J. Gastroenterol. Hepatol. Coloproctol. 2006; 16 (2): 79–83 (in russ.).
9. El-Zimaity H. M., al-Assi M. T., Genta R. M. Confirmation of successful therapy of Helicobacter pylori infection: number and site of biopsies or a rapid urease test. Amer. J. Gastroenterol. 1995; 90: 1962–1964.
10. Lan H. C., Chen T. S., Li A. F.Y.,Chang F.-Y., Lin H.-C. Additional corpus biopsy enhances the detection of Helicobacter pylori infection in a background of gastritis with atrophy. BMC Gastroenterol. 2012; 12 (1): 182. https://doi.org/10.1186/1471-230x-12-182
11. Leal Y. A., Flores L. L., García-Cortés L. B., Cedillo-Rivera R., Torres J. Antibody-based detection tests for the diagnosis of Helicobacter pylori infection in children: a meta-analysis. PloSOne. 2008; 3 (11): e3751. https://doi.org/10.1371/journal.pone.0003751
12. Ivashkin V. T., Lapina T. L., Sheptulin A. A., Trukhmanov A. S., Maev I. V., Drapkina O. M., Abdulkhakov R. A., Alekseeva O. P., Alekseenko S. A., Zaitsev S. V., Korochanskaya N. V., Kurilovich S. A., Osipenko M. F., Sayfutdinov R. G., Sarsenbaeva A. S. Practical steps for the prevention of stomach cancer in the Russian Federation: an algorithm for the management of patients with chronic Helicobacter pylori gastritis: Materials and resolution of the expert council, December 9, 2013. Russ. J. Gastroenterol. Hepatol. Coloproctol. 2014; 24 (2): 102–104 (in russ.).
13. Kuipers E. J., Nelis G. F., Klinkenberg-Knol E. C.,Snel P., Goldfain D., Kolkman J. J., Festen H. P.M., Dent J., Zeitoun P., Havu N., Lamm M., Walan A. Cure of Helicobacter pylori infection in patients with reflux oesophagitis treated with long term omeprazole reverses gastritis without exacerbation of reflux disease: results of a randomised controlled trial. Gut. 2004; 53 (1): 12–20. https://doi.org/10.1136/gut.53.1.12
14. Kuipers E. J., Uyterlinde A. M., Peña A. S.,Kuipers E. J., Uyterlinde A. M., Peña A. S., Hazenberg H. J., Bloemena E., Lindeman J., Klinkenberg-Knol E. C., Meuwissen S. G. Increase of Helicobacter pylori-associated corpus gastritis during acid suppressive therapy: implications for longterm safety. Amer. J. Gastroenterol. 1995; 90 (9): 1401–1406.
15. Malfertheiner P., Megraud F., O′Morain C. A., Gisbert J. P., Kuipers E. J.,Axon A. T., Bazzoli F., Gasbarrini A., Atherton J., Graham D. Y., Hunt R., Moayyedi P., Rokkas T., Rugge M., Selgrad M., Suerbaum S., Sugano K., El-Omar E. M. Management of Helicobacter pylori infection — the Maastricht V/ Florence Consensus Report. Gut. 2017; 66 (1): 6–30. https://doi.org/10.1136/gutjnl-2016-312288
16. Neil G. A., Suchower L. J.,Ronca P. D.,Skoglund M. L. Time of Helicobacter pylori eradication assessment following treatment. Helicobacter. 1997; 2 (1): 13–20. https://doi.org/10.1111/j.1523-5378.1997.tb00051.x
17. Schenk B. E., Kuipers E. J., Nelis G. F. Effect of Helicobacter pylori eradication on chronic gastritis during omeprazole therapy. Gut. 2000; 46 (5): 615–621. https://doi.org/10.1136/gut.46.5.615
18. Shiotani A., Lu H., Dore M. P., Graham D. Y. Treating Helicobacter pylori effectively while minimizing misuse of antibiotics. Clevel. Clin. J. Med. 2017; 84 (4): 310–318. https://doi.org/10.3949/ccjm.84a.14110
19. Vaira D., Vakil N., Menegatti M.,van′t Hoff B., Ricci C., Gatta L., Gasbarrini G., Quina M., Garcia J. M. P., van der Ende A., van der Hulst R., Anti M., Duarte C., Gisbert J. P., Miglioli M., Tytgat G. The stool antigen test for detection of Helicobacter pylori after eradication therapy. Ann. intern. Med. 2002; 136 (4): 280–287. https://doi.org/10.7326/0003-4819-136-4-200202190-00007
20. Belaya N. A. Physiotherapy and massage.Teaching aid for medical workers.M.: Sov. sport; 2004; 272 p. (inruss.).
21. Ponomarenko G. N. Physical and Rehabilitation Medicine: National Guidelines. M.: GEOTAR-Media; 2020; 688 p. (in russ.).
22. Dietetics: Manual / Ed. A. Yu. Baranovsky. SPb.: Piter; 2017; 1100 p. (in russ.).
23. Clinical psychotherapy in general medical practice / Eds. N. G. Neznanova, B. D. Karvasarsky. SPb.: Piter; 2008; 523 p. (in russ.).
24. Technique and methods of physiotherapy procedures: Handbook / Ed. V. M. Bogolyubov. M.: Binom; 2012; 463 p. (in russ.).
25. Molostov V. D. Acupuncture. Manual therapy: A practical guide to the treatment of diseases. M.: Eksmo; 2008; 781 p. (in russ.).
26. Novoseltsev S. V. Clinical osteopathy. Visceral techniques. SPb.: Foliant; 2013; 294 p. (in russ.).
27. The collected papers of Irvin M. Korr / Eds. I. M. Korr, B. Peterson. Colorado: American Academy of Osteopathy; 1947; 322 p.
Review
For citations:
Fazlyakhmetov R.T., Safiullin R.R., Ustinov A.V. Results of the inclusion of osteopathic correction in the complex therapy of patients with chronic gastritis. Russian Osteopathic Journal. 2021;(1):80-89. (In Russ.) https://doi.org/10.32885/2220-0975-2021-1-80-89
Views:
613
Email this article 