EC Gastroenterology and Digestive System

Introduction: In rheumatism, all organs and systems are affected, however, in most cases, in the acute period, lesions of large joints are most clearly distinguished in the form of volatile arthritis (mostly reversible), somewhat less often - of the nervous system - neurorheumatism, chorea minor (in most cases, chorea minor does not subsequently leave noticeable organic and functional changes), almost always - the heart with the subsequent formation of rheumatic heart disease.

Purpose: To identify violations of the motor function of the gastrointestinal tract and biliary tract in rheumatoid diseases.

Materials and Methods: The examination included 18 patients suffering from rheumatism (1/3 patients), discoid lupus erythematosus (1/3 patients), Sjogren’s disease (the remaining 1/3) at the age of 64.3 ± 7.5 years. The motor function of the gastrointestinal tract and GI was recorded electromyographically. The amplitude-frequency characteristics of slow waves and spikes, the power of phasic and tonic contractions, and propulsive activity were analyzed using the hardware-software complex of the Nihon Kohen electromyograph (Japan). The comparison group consisted of 9 patients suffering from chronic gastritis C. Statistical analysis was carried out using the Mann-Whitney small sample method, M ± m (p < 0.05).

Results: In rheumatoid diseases, a moderately pronounced hypermotor dyskinesia of the stomach was observed, a moderately pronounced hypomotor dyskinesia of the duodenum was detected, probably associated with the development of a syndrome of excessive bacterial growth. In rheumatoid diseases, there is a progressive decrease in the motor function of the small intestine in the distal direction. Hypermotor dyskinesia of the right colon was revealed. In rheumatoid diseases in the left sections of the colon, hypermotor dyskinesia was revealed due to an increase in the power of contraction of the longitudinal muscles.

Conclusion: The revealed pronounced hypermotor dyskinesia of the sigmoid colon causes the development of diarrhea. In the biliary system, hypomotor dyskinesia of both choledochus and the gallbladder was revealed, which, apparently, reduces the flow of both non-concentrated and concentrated bile into the duodenum. The decrease in the flow of bile is also due to the pronounced spastic activity of the circular muscles of the biliary system.

Keywords: Rheumatoid Diseases; Electromyography; Gastrointestinal Tract; Biliary System

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