CHARACTERIZING THE ELECTRICAL ACTIVITY OF GASTROINTESTINAL TRACT PARTS IN USERS OF ELECTRONIC NICOTINE DELIVERY SYSTEMS

D. Kazarin, Aleksej Е. Shklyaev, Angelina S. Pantyuhina, V. M. Dudarev, Yuliya I. Galihanova
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Abstract

Introduction. Using electronic nicotine delivery systems has shown a steady growth in recent years, especially among young people. Researchers and professionals are also interested in what consequences the use of such systems may have, but most studies deal with respiratory system. Aim. The aim is to clarify the electrical activity of the gastrointestinal tract parts in users of electronic nicotine delivery systems. Materials and Methods. 35 people of both sexes were examined, divided into two comparable groups: The study group consisted of 17 people regularly using electronic nicotine delivery systems, and the comparator group consisted of 18 practically healthy individuals. All study participants were surveyed using the quality-of-life questionnaire in Gastrointestinal Symptom Rating Scale, clinical laboratory testing of blood and stool was performed, feces were tested for occult blood; and endoscopy, video colonoscopy, and electrogastroenterography were performed. The findings are presented as median (Me), as well as the first and the third quartiles (Q1; Q3). The significance of differences in groups was assessed using the Mann–Whitney test for independent quantitative variables. Differences were considered significant at p≤0.05. Results and Discussion. All individuals examined in the study group had significantly higher scores for gastroenterological symptoms on all syndrome scales of the Gastrointestinal Symptom Rating Scale questionnaire. Disturbances are shown in the electrical activity and frequency of contractions of hollow gastrointestinal organs in individuals using electronic cigarettes. Conclusions. Systematic consumption of nicotine-containing liquids via electronic nicotine delivery systems forms a specific variant of functional gastrointestinal diseases, expressed in electrophysiological disorders of the gastrointestinal tract, which is reflected in clinical symptoms.
描述电子尼古丁给药系统使用者胃肠道部位的电活动特征
导言。近年来,使用电子尼古丁递送系统的人数稳步增长,尤其是在年轻人当中。研究人员和专业人士对使用此类系统可能产生的后果也很感兴趣,但大多数研究涉及呼吸系统。研究目的旨在明确电子尼古丁递送系统使用者胃肠道部位的电活动。材料和方法。35 名男女受试者被分为两组,具有可比性:研究组由 17 名经常使用电子尼古丁递送系统的人组成,对比组由 18 名身体健康的人组成。所有研究人员都接受了胃肠道症状评分量表中的生活质量问卷调查,进行了血液和粪便的临床实验室检测,粪便隐血检测,以及内窥镜、视频结肠镜和胃肠电图检查。结果以中位数(Me)以及第一和第三四分位数(Q1; Q3)表示。组间差异的显著性采用独立定量变量的曼-惠特尼检验进行评估。P≤0.05为差异显著。结果与讨论在胃肠道症状分级量表问卷的所有综合征量表中,研究组所有受检者的胃肠道症状得分均显著升高。使用电子香烟的人中空胃肠道器官的电活动和收缩频率都出现了紊乱。结论是通过电子尼古丁递送系统系统性吸食含尼古丁的液体是功能性胃肠病的一种特殊变体,表现为胃肠道电生理紊乱,并在临床症状中有所体现。
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