眼睛表面疾病作为食道外胃食道逆流病的表现:一种特定的治疗策略
Antonio Di Zazzo1, Alessandra Micera2, Pier Luigi Surico1
1Ophthalmology Complex Operative Unit, University Campus Bio-Medico, Rome, Italy.
Cornea
|July 5, 2023
概括
胃食道逆流性疾病 (GERD) 和喉逆流 (LPR) 与增加的眼部不适有关. 局部阿尔金酸盐疗法在恢复眼睛表面健康和减少炎症方面表现有前途.
科学领域:
- 眼科医生 眼科 眼科
- 胃肠病学 胃肠病学
- 生物分子科学 生物分子科学
背景情况:
- 胃食道逆流性疾病 (GERD) 和喉回流 (LPR) 是常见的疾病与食道外表现 (EGERD).
- 在GERD/LPR和眼部不适之间存在相关性,这表明潜在的并发症.
- 了解EGERD中的眼部参与对于全面的患者管理至关重要.
研究的目的:
- 为了确定GERD/LPR患者眼部干扰的患病率.
- 描述EGERD眼部表现的临床和生物分子特征.
- 评估这种新出现的并发症的治疗策略.
主要方法:
- 一项蒙面随机受控研究,涉及53名LPR患者和25名健康对照.
- 进行了眼睛表面评估,眼睛表面疾病指数 (OSDI) 问卷,眼取样和结膜印记.
- 分析了眼中的素水平,HLA-DR,IL8,MUC5AC,NADPH,VIP和NPY转录表达.
主要成果:
- 与对照人群相比,LPR患者的OSDI得分显著提高,撕裂破裂时间 (T-BUT) 缩短,梅博米腺功能障碍增加.
- 用酸眼滴和口服治疗治疗改善了T-BUT和梅博米腺功能障碍.
- 治疗后素度下降,而MUC5AC表达增加. VIP转录减少,表明潜在的神经性炎症成分.
结论:
- 在患有GERD/LPR的患者中,眼部不适更为普遍.
- 这项研究表明,EGERD相关的眼部症状的潜在神经性炎症基础.
- 局部阿尔金酸盐疗法在治疗与GERD/LPR相关的眼睛表面异常方面显示出潜在的有效性.
相关概念视频
Gastroesophageal Reflux Disease II: Clinical Features and Management
116
Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
116
Barrett Esophagus-II: Clinical Manifestations and Management
214
Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
214
Peptic Ulcer Disease IV: Management
113
Medical treatment strategies for peptic ulcers encompass various methods. The primary goal of treatment is to diminish gastric acidity and strengthen mucosal defense mechanisms.
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
113
Esophageal Strictures-II: Clinical Features and Management
108
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
108
Drugs for Peptic Ulcer Disease: Sucralfate as Mucosal Protective Agents
563
In the intricate landscape of the gastric lumen, excessive acid secretion disrupts the natural defense mechanisms, weakening the mucus-bicarbonate barrier. This vulnerability allows pepsin to infiltrate epithelial cells, digesting mucosal proteins and triggering erosion, leading to ulcer formation.
In this scenario, mucosal protective agents like sucralfate play an essential role. Sucralfate, a complex of sulfated sucrose and aluminum hydroxide, demonstrates its usefulness in acidic conditions,...
In this scenario, mucosal protective agents like sucralfate play an essential role. Sucralfate, a complex of sulfated sucrose and aluminum hydroxide, demonstrates its usefulness in acidic conditions,...
563
Esophageal Varices-II: Clinical Features and Management
99
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
99


