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胃食道逆流疾病是胃食道逆流疾病
Albert J Bredenoord1, John E Pandolfino, André J P M Smout
1Department of Gastroenterology and Hepatology, Academic Medical Center, Amsterdam, Netherlands.
Lancet (London, England)
|March 13, 2013
概括
胃食道逆流性疾病的理解已经从间歇性变为食道炎和pH监测. 这种常见的胃肠道疾病的治疗方法也随着时间的推移而发生了重大变化.
科学领域:
- 胃肠病学 胃肠病学
- 消化系统疾病 消化系统疾病
背景情况:
- 胃食道逆流性疾病 (GORD) 是一种普遍存在的胃肠道疾病.
- 历史上的诊断方法包括放射学,最初将GORD等同于间隙.
研究的目的:
- 追踪理解和诊断GORD的演变.
- 检查几十年来GORD治疗模式的变化.
主要方法:
- 对GORD的历史诊断方式的审查.
- 分析技术进步对GORD定义和处理的影响.
主要成果:
- GORD的定义从间隙 (放射学) 转移到食道炎 (内镜).
- 消化管pH值监测进一步细化了诊断标准.
- 药理学的进步 (H2RA,PPI) 影响了治疗策略,导致了各种方法.
结论:
- 戈德的概念化和管理经历了实质性的转型.
- 诊断和治疗方面的进步继续塑造GORD的临床方法.
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