消化不良症 消化不良症
Edward Hurtte1, Jocelyn Young2, C Prakash Gyawali1
1Division of Gastroenterology, Washington University School of Medicine, Campus Box 8124, 660 South Euclid Avenue, St Louis, MO 63110, USA.
Primary care
|July 29, 2023
概括
消化不良或吞困难在老年人中很常见. 区分口腔的原因 (通常是神经肌肉) 和食道的原因 (通常是结构性的) 引导适当的诊断测试和管理.
科学领域:
- 胃肠病学 胃肠病学
- 老年病的医生 老年病的医生
- 神经学 神经学
背景情况:
- 缺食症是一种显著的临床症状,在老年人群中流行率越来越高.
- 口腔喉和食道两种病因都会导致失消.
- 区分这两种类型对于有效的诊断和治疗至关重要.
研究的目的:
- 概述基于其位置 (口腔大与食道) 的消化不良的诊断方法.
- 突出每个类型的消化障碍的不同潜在机制和常见原因.
- 强调病因学特定管理策略的重要性.
主要方法:
- 采取临床病史以区分口腔喉和食道原因.
- 对于怀疑口腔喉乱症的修改过的吞,专注于神经肌肉过程.
- 对于疑似食道失的内镜检查,允许进行活检和扩张.
- 当排除了结构性食道原因时,食道计量.
主要成果:
- 神经肌肉疾病在口腔喉乱症中更常见.
- 结构异常是食道乱的主要原因.
- 诊断工具,如修改的吞,内镜和测量仪是根据怀疑的消化不良类型来选择的.
结论:
- 仔细的病史是区分口腔喉和食道乱症的关键.
- 诊断检查的选择 (修改的吞,内镜,测量) 取决于假定的位置和机制.
- 根据已识别的原因和机制定制的管理策略对于治疗失消症至关重要.
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