{"id":2554,"date":"2022-11-23T10:00:00","date_gmt":"2022-11-23T09:00:00","guid":{"rendered":"https:\/\/studioprogettovita.it\/?p=2554"},"modified":"2022-11-24T10:43:20","modified_gmt":"2022-11-24T09:43:20","slug":"losteopatia-nella-gestione-della-malattia-da-reflusso-gastro-esofageo","status":"publish","type":"post","link":"https:\/\/studioprogettovita.it\/?p=2554","title":{"rendered":"L\u2019Osteopatia nella gestione della Malattia da Reflusso Gastro-Esofageo"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"2554\" class=\"elementor elementor-2554\">\n\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-81929b4 e-con-boxed e-con\" data-id=\"81929b4\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;boxed&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5363db3 elementor-widget elementor-widget-heading\" data-id=\"5363db3\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.8.0 - 30-10-2022 *\/\n.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}<\/style><h2 class=\"elementor-heading-title elementor-size-default\">L\u2019Osteopatia nella gestione della Malattia da Reflusso Gastro-Esofageo <\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-18798f8 e-con-boxed e-con\" data-id=\"18798f8\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;boxed&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-0a04570 e-con-full e-con\" data-id=\"0a04570\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;full&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-36f90d4 elementor-widget elementor-widget-text-editor\" data-id=\"36f90d4\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.8.0 - 30-10-2022 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#818a91;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#818a91;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<p><span style=\"font-weight: 400;\">Il\u00a0Reflusso Gastro-Esofageo\u00a0(in inglese\u00a0GERD, gastro-esophageal reflux disease) \u00e8 la condizione clinica in cui vi \u00e8 un\u2019incapacit\u00e0 di gestione dei succhi acidi prodotti dallo stomaco, che risalgono lungo il tratto esofageo. E\u2019 una condizione ad origine multifattoriale che colpisce un numero sempre pi\u00f9 crescente di soggetti (4 milioni di Pazienti in Italia) ed \u00e8 uno dei disturbi pi\u00f9 comuni che i medici di base riscontrano nella loro pratica clinica quotidiana.<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-1d213a1 e-con-full e-con\" data-id=\"1d213a1\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;full&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9b4a40a elementor-widget elementor-widget-image\" data-id=\"9b4a40a\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.8.0 - 30-10-2022 *\/\n.elementor-widget-image{text-align:center}.elementor-widget-image a{display:inline-block}.elementor-widget-image a img[src$=\".svg\"]{width:48px}.elementor-widget-image img{vertical-align:middle;display:inline-block}<\/style>\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"587\" src=\"https:\/\/studioprogettovita.it\/wp-content\/uploads\/2022\/11\/bruciore-di-stomaco-1-biochetasi-1024x587.jpeg\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/studioprogettovita.it\/wp-content\/uploads\/2022\/11\/bruciore-di-stomaco-1-biochetasi-1024x587.jpeg 1024w, https:\/\/studioprogettovita.it\/wp-content\/uploads\/2022\/11\/bruciore-di-stomaco-1-biochetasi-300x172.jpeg 300w, https:\/\/studioprogettovita.it\/wp-content\/uploads\/2022\/11\/bruciore-di-stomaco-1-biochetasi-768x440.jpeg 768w, https:\/\/studioprogettovita.it\/wp-content\/uploads\/2022\/11\/bruciore-di-stomaco-1-biochetasi-1536x880.jpeg 1536w, https:\/\/studioprogettovita.it\/wp-content\/uploads\/2022\/11\/bruciore-di-stomaco-1-biochetasi.jpeg 1920w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-1d5a745 e-con-boxed e-con\" data-id=\"1d5a745\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;boxed&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5cf03e4 elementor-widget elementor-widget-text-editor\" data-id=\"5cf03e4\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Caratterizzato dalla prolungata esposizione della mucosa esofagea ai succhi gastrici, il reflusso genera nel tempo infiammazione, erosione e nei casi pi\u00f9 gravi ulcerazione con fibrosi della parte distale dell\u2019esofago (esofago di Barrett). Quest\u2019ultima forma \u00e8 definita come una metaplasia cio\u00e8 uno stadio pre-canceroso che se non curato adeguatamente potrebbe sviluppare la patologia pi\u00f9 grave, il tumore o adenocarcinoma gastrico.\u00a0<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-f94a83a e-con-boxed e-con\" data-id=\"f94a83a\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;boxed&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e7773b4 elementor-widget elementor-widget-text-editor\" data-id=\"e7773b4\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">I\u00a0sintomi\u00a0provocati dal reflusso gastro-esofageo sono svariati e spesso\u00a0non\u00a0sono facilmente\u00a0riconoscibili, ma come esperienza principale vissuta dal Paziente vi \u00e8 una\u00a0sensazione di bruciore\u00a0nella zona retrosternale che pu\u00f2 irradiarsi in zona dorsale e salire sino alla mandibola.\u00a0<\/span><\/p><p><span style=\"font-weight: 400;\">In aggiunta tra gli altri sintomi pi\u00f9 o meno comuni riconducibili a questo stato infiammatorio possiamo evidenziare: difficolt\u00e0 di deglutizione, mal di gola, dolore cervicale medio,\u00a0perdita parziale o totale della voce,\u00a0laringite,\u00a0sinusite,\u00a0asma, dolore sub-occipitale, difficolt\u00e0 digestive\u00a0o\u00a0nausea, disturbi del sonno, senso di\u00a0oppressione al torace, capogiri, tosse secca.<\/span><\/p><p>\u00a0<\/p><p><span style=\"font-weight: 400;\">Essendo una problematica di origine multifattoriale le maggiori concause che portano a questa condizione sono: alimentazione\u00a0poco salutare, obesit\u00e0, stress psico-fisico, fumo\u00a0di sigaretta, una pregressa condizione patologica di ernia iatale.<\/span><\/p><p>\u00a0<\/p><p><span style=\"font-weight: 400;\">Tutto ci\u00f2 porta ad una modifica funzionale anatomica della capacit\u00e0 contenitiva dello stomaco nei confronti dell\u2019esofago che pu\u00f2 cronicizzarsi e degenerare negli stadi descritti prima in quanto l\u2019anatomia che compone l\u2019area di giunzione tra gastro-esofagea va a cambiare la sua capacit\u00e0 elastica e contrattile.<\/span><\/p><p><span style=\"font-weight: 400;\">La giunzione gastro-esofagea (cardias) \u00e8 un complesso valvolare atto a prevenire la risalita dei succhi gastrici in esofago ed \u00e8 composta principalmente da uno sfintere chiamato\u00a0LES\u00a0(Lower Esophageal Sphincter), collocato all\u2019interno dello\u00a0iato diaframmatico e circondato dalla componente fibrosa del diaframma stesso. Il reflusso gastrico \u00e8 quindi impedito principalmente da tre componenti: un corretto angolo di inclinazione tra esofago e stomaco, la chiusura quasi totale del LES ad opera della muscolatura intrinseca, la pressione generata dalla giusta tensione del diaframma durante la respirazione (fase inspiratoria). <\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-3b0c7ae e-con-boxed e-con\" data-id=\"3b0c7ae\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;boxed&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-629f9e0 e-con-full e-con\" data-id=\"629f9e0\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;full&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d97a5e4 elementor-widget elementor-widget-image\" data-id=\"d97a5e4\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"456\" height=\"296\" src=\"https:\/\/studioprogettovita.it\/wp-content\/uploads\/2022\/11\/reflusso.jpg\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/studioprogettovita.it\/wp-content\/uploads\/2022\/11\/reflusso.jpg 456w, https:\/\/studioprogettovita.it\/wp-content\/uploads\/2022\/11\/reflusso-300x195.jpg 300w\" sizes=\"(max-width: 456px) 100vw, 456px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-7ef9564 e-con-full e-con\" data-id=\"7ef9564\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;full&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-988a331 elementor-widget elementor-widget-text-editor\" data-id=\"988a331\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Il trattamento primario secondo la letteratura scientifica \u00e8 identificato nell\u2019approccio farmacologico attraverso la somministrazione di farmaci denominati inibitori di pompa protonica (tipo pantorc, pantopan, omeprazolo ecc..) ed in Italia questa classe di&nbsp;farmaci sono al secondo posto tra quelli pi\u00f9 prescritti dai medici di base. In ogni caso questo approccio&nbsp;\u00e8 esclusivamente sintomatico e richiede una continua somministrazione del farmaco innescando possibili effetti avversi per cui \u00e8 necessario controllare il dosaggio e il tempo di esposizione.&nbsp;<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-bfb3361 e-con-boxed e-con\" data-id=\"bfb3361\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;boxed&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a25b553 elementor-widget elementor-widget-text-editor\" data-id=\"a25b553\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Le linee guida dell\u2019OMS\u00a0(Organizzazione Mondiale della Sanit\u00e0) prevedono infatti oltre alla terapia farmacologica iniziale l\u2019adozione di una\u00a0dieta equilibrata\u00a0e il ricorso a\u00a0terapie complementari\u00a0come l\u2019Osteopatia, la Psicoterapia e l\u2019Agopuntura.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-5641bda e-con-boxed e-con\" data-id=\"5641bda\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;boxed&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-cd2d0ae elementor-widget elementor-widget-text-editor\" data-id=\"cd2d0ae\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">L\u2019Osteopatia\u00a0valuta le possibili cause\u00a0del reflusso gastro- esofageo e dei disturbi del tratto di apparato digerente interessato dall\u2019infiammazione, attraverso un approccio olistico al corpo e al suo funzionamento.<\/span><\/p><p><span style=\"font-weight: 400;\">Nella valutazione osteopatica\u00a0vengono analizzate le connessioni tra componente viscerale,\u00a0struttura scheletrica e area neurologica\u00a0deputata al controllo dell\u2019organo, alla quale consegue l\u2019intervento sulle cause prime del disturbo.<\/span><\/p><p><span style=\"font-weight: 400;\">In particolare\u00a0nei casi di reflusso l\u2019osteopatia andr\u00e0 ad indagare componenti disfunzionali relative al sistema neurovegetativo di competenza, area vertebrale dorsale e\u00a0relazioni costali associate, diaframma\u00a0toracico e\u00a0relazioni delle pressioni tra i vari diaframmi\u00a0corporei, area della base cranica e\u00a0nervo vago, strutture viscerali\u00a0(stomaco, esofago, duodeno,..), aree linfatiche e di connettivo connesse al GALT (sistema immunitario linfoide associato alla mucosa gastro-intestinale).<\/span><\/p><p>\u00a0<\/p><p><span style=\"font-weight: 400;\">Trattare il reflusso\u00a0gastro-esofageo\u00a0con l\u2019Osteopatia\u00a0quindi\u00a0significa\u00a0fare in modo di ridurre le eventuali tensioni\u00a0che si sono create a livello del cardias e dell\u2019area circostanti, aiutando l\u2019organismo a\u00a0ritrovare l\u2019equilibrio\u00a0e la\u00a0corretta motilit\u00e0\u00a0degli organi favorendo i meccanismi di\u00a0autoguarigione\u00a0ed\u00a0autoregolazione.<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-f1928f0 e-con-boxed e-con\" data-id=\"f1928f0\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;boxed&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d3e2a51 elementor-widget elementor-widget-text-editor\" data-id=\"d3e2a51\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Andrea Viale DO mROI<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-a2389fa e-con-boxed e-con\" data-id=\"a2389fa\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;boxed&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-189cc82 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"189cc82\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.8.0 - 30-10-2022 *\/\n.elementor-widget-divider{--divider-border-style:none;--divider-border-width:1px;--divider-color:#2c2c2c;--divider-icon-size:20px;--divider-element-spacing:10px;--divider-pattern-height:24px;--divider-pattern-size:20px;--divider-pattern-url:none;--divider-pattern-repeat:repeat-x}.elementor-widget-divider .elementor-divider{display:-webkit-box;display:-ms-flexbox;display:flex}.elementor-widget-divider .elementor-divider__text{font-size:15px;line-height:1;max-width:95%}.elementor-widget-divider .elementor-divider__element{margin:0 var(--divider-element-spacing);-ms-flex-negative:0;flex-shrink:0}.elementor-widget-divider .elementor-icon{font-size:var(--divider-icon-size)}.elementor-widget-divider .elementor-divider-separator{display:-webkit-box;display:-ms-flexbox;display:flex;margin:0;direction:ltr}.elementor-widget-divider--view-line_icon .elementor-divider-separator,.elementor-widget-divider--view-line_text .elementor-divider-separator{-webkit-box-align:center;-ms-flex-align:center;align-items:center}.elementor-widget-divider--view-line_icon .elementor-divider-separator:after,.elementor-widget-divider--view-line_icon .elementor-divider-separator:before,.elementor-widget-divider--view-line_text .elementor-divider-separator:after,.elementor-widget-divider--view-line_text .elementor-divider-separator:before{display:block;content:\"\";border-bottom:0;-webkit-box-flex:1;-ms-flex-positive:1;flex-grow:1;border-top:var(--divider-border-width) var(--divider-border-style) var(--divider-color)}.elementor-widget-divider--element-align-left .elementor-divider .elementor-divider-separator>.elementor-divider__svg:first-of-type{-webkit-box-flex:0;-ms-flex-positive:0;flex-grow:0;-ms-flex-negative:100;flex-shrink:100}.elementor-widget-divider--element-align-left .elementor-divider-separator:before{content:none}.elementor-widget-divider--element-align-left .elementor-divider__element{margin-left:0}.elementor-widget-divider--element-align-right .elementor-divider .elementor-divider-separator>.elementor-divider__svg:last-of-type{-webkit-box-flex:0;-ms-flex-positive:0;flex-grow:0;-ms-flex-negative:100;flex-shrink:100}.elementor-widget-divider--element-align-right .elementor-divider-separator:after{content:none}.elementor-widget-divider--element-align-right .elementor-divider__element{margin-right:0}.elementor-widget-divider:not(.elementor-widget-divider--view-line_text):not(.elementor-widget-divider--view-line_icon) .elementor-divider-separator{border-top:var(--divider-border-width) var(--divider-border-style) var(--divider-color)}.elementor-widget-divider--separator-type-pattern{--divider-border-style:none}.elementor-widget-divider--separator-type-pattern.elementor-widget-divider--view-line .elementor-divider-separator,.elementor-widget-divider--separator-type-pattern:not(.elementor-widget-divider--view-line) .elementor-divider-separator:after,.elementor-widget-divider--separator-type-pattern:not(.elementor-widget-divider--view-line) .elementor-divider-separator:before,.elementor-widget-divider--separator-type-pattern:not([class*=elementor-widget-divider--view]) .elementor-divider-separator{width:100%;min-height:var(--divider-pattern-height);-webkit-mask-size:var(--divider-pattern-size) 100%;mask-size:var(--divider-pattern-size) 100%;-webkit-mask-repeat:var(--divider-pattern-repeat);mask-repeat:var(--divider-pattern-repeat);background-color:var(--divider-color);-webkit-mask-image:var(--divider-pattern-url);mask-image:var(--divider-pattern-url)}.elementor-widget-divider--no-spacing{--divider-pattern-size:auto}.elementor-widget-divider--bg-round{--divider-pattern-repeat:round}.rtl .elementor-widget-divider .elementor-divider__text{direction:rtl}.e-con-inner>.elementor-widget-divider,.e-con>.elementor-widget-divider{width:var(--container-widget-width,100%)}<\/style>\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-feca449 e-con-boxed e-con\" data-id=\"feca449\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;boxed&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0db0aae elementor-widget elementor-widget-text-editor\" data-id=\"0db0aae\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Bibliografia:<\/span><\/p><p>\u00a0<\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Moraes-Filho JP, Navarro-Rodriguez T, Barbuti R, Eisig J, Chinzon D, Bernardo W; Brazilian Gerd Consensus Group. Guidelines for the diagnosis and management of gastroesophageal reflux disease: an evidence-based consensus. Arq Gastroenterol. 2010 Jan-Mar;47(1):99-115. doi: 10.1590\/s0004-28032010000100017. PMID: 20520983.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Thrift AP. Barrett&#8217;s Esophagus and Esophageal Adenocarcinoma: How Common Are They Really? Dig Dis Sci. 2018 Aug;63(8):1988-1996. doi: 10.1007\/s10620-018-5068-6. PMID: 29671158.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">VAEZI, M.F. (2006), Review article: the role of pH monitoring in extraoesophageal gastro-oesophageal reflux disease. Alimentary Pharmacology &amp; Therapeutics, 23: 40-49.\u00a0<\/span><a href=\"https:\/\/doi.org\/10.1111\/j.1365-2036.2006.02797.x\"><span style=\"font-weight: 400;\">https:\/\/doi.org\/10.1111\/j.1365-2036.2006.02797.x<\/span><\/a><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Kwiatek MA, Kahrilas PJ. Physiology of the LES. Dis Esophagus. 2012 May;25(4):286-91. doi: 10.1111\/j.1442-2050.2011.01184.x. Epub 2011 Mar 8. PMID: 21385287.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Kwiatek, M.A., Pandolfino, J.E. and Kahrilas, P.J. (2011), 3D-high resolution manometry of the esophagogastric junction. Neurogastroenterology &amp; Motility, 23: e461-e469.\u00a0<\/span><a href=\"https:\/\/doi.org\/10.1111\/j.1365-2982.2011.01733.x\"><span style=\"font-weight: 400;\">https:\/\/doi.org\/10.1111\/j.1365-2982.2011.01733.x<\/span><\/a><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Malfertheiner P, Megraud F, O&#8217;Morain CA, Gisbert JP, Kuipers EJ, Axon AT, Bazzoli F, Gasbarrini A, Atherton J, Graham DY, Hunt R, Moayyedi P, Rokkas T, Rugge M, Selgrad M, Suerbaum S, Sugano K, El-Omar EM; European Helicobacter and Microbiota Study Group and Consensus panel. Management of Helicobacter pylori infection-the Maastricht V\/Florence Consensus Report. Gut. 2017 Jan;66(1):6-30. doi: 10.1136\/gutjnl-2016-312288. Epub 2016 Oct 5. PMID: 27707777.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Posadzki P, Ernst E. Spinal manipulations for the treatment of migraine: a systematic review of randomized clinical trials. Cephalalgia. 2011 Jun;31(8):964-70. doi: 10.1177\/0333102411405226. Epub 2011 Apr 21. PMID: 21511952.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">&#8220;<\/span><a href=\"https:\/\/www.scirp.org\/journal\/paperinforcitation.aspx?paperid=78309\"><span style=\"font-weight: 400;\">An Alternative Approach to the Gastroesophageal Reflux Disease: Manual Techniques and Nutrition<\/span><\/a><span style=\"font-weight: 400;\">&#8221;\u00a0Luca Collebrusco, Rita Lombardini, Giovanna Censi, Open Journal of Therapy and Rehabilitation,\u00a0Vol.5 No.3, 2017<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"http:\/\/www.halifaxosteopathy.ca\/osteopathic-manual-therapy-and-management-of-gastroesophageal-reflux-disease-gerd-by-jocelyn-glover-bsc-kin-bsc-ahn-d-o-m-p\/\"><span style=\"font-weight: 400;\">Osteopathic Manual Therapy and Management of Gastroesophageal Reflux Disease-GERD By Jocelyn Glover BSc.Kin, BSc.AHN, D.O.M.P<\/span><\/a><span style=\"font-weight: 400;\"> Halifax Osteopathic Centre, 2018<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Lossing, K. (2011) Visceral Manipulation. In: Chila, A.G., Ed., Foundations of Osteopathic Medicine, 3rd Edition, Lippincott Williams &amp; Wilkins, Baltimore, 845- 849.<\/span><\/li><\/ul><p><br \/><br \/><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>L\u2019Osteopatia nella gestione della Malattia da Reflusso Gastro-Esofageo Il&nbsp;Reflusso Gastro-Esofageo&nbsp;(in inglese&nbsp;GERD, gastro-esophageal reflux disease) \u00e8 la condizione clinica in cui vi \u00e8 un\u2019incapacit\u00e0 di gestione dei succhi acidi prodotti dallo stomaco, che risalgono lungo il tratto esofageo. E\u2019 una condizione ad origine multifattoriale che colpisce un numero sempre pi\u00f9 crescente di soggetti (4 milioni di [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":2601,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5,15,19],"tags":[],"_links":{"self":[{"href":"https:\/\/studioprogettovita.it\/index.php?rest_route=\/wp\/v2\/posts\/2554"}],"collection":[{"href":"https:\/\/studioprogettovita.it\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/studioprogettovita.it\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/studioprogettovita.it\/index.php?rest_route=\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/studioprogettovita.it\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2554"}],"version-history":[{"count":8,"href":"https:\/\/studioprogettovita.it\/index.php?rest_route=\/wp\/v2\/posts\/2554\/revisions"}],"predecessor-version":[{"id":2602,"href":"https:\/\/studioprogettovita.it\/index.php?rest_route=\/wp\/v2\/posts\/2554\/revisions\/2602"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/studioprogettovita.it\/index.php?rest_route=\/wp\/v2\/media\/2601"}],"wp:attachment":[{"href":"https:\/\/studioprogettovita.it\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2554"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/studioprogettovita.it\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2554"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/studioprogettovita.it\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2554"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}