Gastroesophageal reflux disease combined with Oddi sphincter dysfunction: control of health-related quality of life in patients

L.M. Mosiychuk; L.V. Demeshkina; E.V. Zigalo

doi:10.22141/2308-2097.56.2.2022.491

Authors

L.M. Mosiychuk SI “Institute of Gastroenterology of the National Academy of Medical Sciences of Ukraine”, Dnipro, Ukraine https://orcid.org/0000-0001-9296-9473
L.V. Demeshkina SI “Institute of Gastroenterology of the National Academy of Medical Sciences of Ukraine”, Dnipro, Ukraine https://orcid.org/0000-0002-7301-1857
E.V. Zigalo SI “Institute of Gastroenterology of the National Academy of Medical Sciences of Ukraine”, Dnipro, Ukraine https://orcid.org/0000-0001-5026-0992

DOI:

https://doi.org/10.22141/2308-2097.56.2.2022.491

Keywords:

health-related quality of life, gastoesophageal reflux disease, sphincter of Oddi dysfunction, questionnaire

Abstract

Background. Due to the need to assess the impact of comorbid pathology (GERD and Oddi sphincter dysfunction), it is not possible to use such well-known specific questionnaires as the GERD Health-Related Quality of Life Questionnaire, the Quality of Life in Reflux and Dyspepsia and others. The purpose: to study Health-Related Quality of Life (HRQoL) before and after treatment in patients with GERD, combined with dysfunction of the sphincter of Oddi, using Short Form Health Status Survey (SF-36) and the self-developed specific questionnaire. Materials and methods. 30 patients with comorbid diseases GERD and Oddi’s sphincter dysfunction were studied. SF-36 and the self-developed specific questionnaire were used. Results. The specific questionnaire for patients with gastoesophageal reflux disease combined with Sphincter of Oddi dysfunction was worked out. The evaluation of the questionnaire (patients comprehensiveness of questions, timesuming etc.) was explored. Using SF-36, it was significant improvement of HRQoL for all scales after treatment compared with initial data: physical functioning (PF, (77,1 ± 2,0) versus (71,4 ± 2,2)), role-physical functioning (RP, (52,1 ± 5,0) versus (30,6 ± 2,4)), bodily pain (BP, (65,8 ± 1,2) versus (48,7 ± 2,1)), social functioning (SF, (69,5 ± 2,0) versus (50,8 ± 2,1)), mental health (MH, (68,5 ± 2,1) versus (49,8 ± 1,8)), role emotional (RE, (65,2 ± 4,7) versus (35,8 ± 3,7)), vitality (VT, (63,3 ± 2,1) versus (43,2 ± 2,2)), general health (GH, (58,1 ± 2,4) versus (46,1 ± 1,7) points). All patients had decreased HRQoL due to comorbid GERD and sphincter dysfunction Oddi. Moderate or significant disorders of activity and rhythm of life due to these diseases was revealed, but after treatment there was an improvement in significant HRQoL in all patients, in addition to psycho-emotional perception of their diseases became more positive. Conclusions. All patients had decreased HRQoL due to comorbid GERD and sphincter dysfunction Oddi, and it improved after treatment in most of patients.

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