[带有食道参与的性胃肠道疾病:212名患者的分析]
Alejandro Raúl Gratacós Gómez1, Alberto Palacios Cañas1, Jaime Meneses Sotomayor1
1Sección de Alergología del Hospital General Universitario de Ciudad Real, Spain.
概括
在成年人中,异性胃肠道疾病 (EGID) 很少与异性食道炎 (EoE) 同时发生. 对于患有胃肠道症状的EOE患者,不建议进行常规活检,因为EGID存在对EOE特征的影响很小.
科学领域:
- 胃肠病学 胃肠病学
- 免疫学 免疫学 免疫学
- 内部医学 内部医学
背景情况:
- 主要的eosinophilic胃肠道疾病 (EGID) 是慢性胃肠道炎症疾病,原因不明.
- 对于EGID在患有eosinophilic食道炎 (EoE) 的成年患者的查的流行率,特征和实用性尚不清楚.
研究的目的:
- 确定被诊断为EoE的成年人EGID的患病率和特征.
- 为了比较EGID和非EGID患者与EoE关于并发症和疾病演变.
- 调查EGID查在成年EOE患者中的有用性.
主要方法:
- 一个前性的,单中心的观察和分析研究.
- 患有EoE的成年患者接受了基线上部内镜检查,并进行胃和十二指肠活检.
- 对持续性腹和正常的十二指肠活检进行了结肠镜与活检.
主要成果:
- 在212名EoE患者中,9名 (4.3%) 患有并发性EGID,最常见的是影响小肠 (78%).
- 在EGID患者中,胃肠道症状,特别是腹痛或腹,食物敏感化和消化系统并发症更为频繁.
- 44%的EoE患者出现了胃肠道症状,其中10%患有EGID.
结论:
- EGID很少与EoE共存,即使存在胃肠道症状.
- 由于EGID的发病率较低,不建议对成年EOE患者进行常规活检,因为患者有GI症状.
- EGID对EoE特征的影响很小,除了胃肠道症状,并发病症和食物敏感性外.
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