胃食道逆流病患者腹部胀气的发生率和严重程度
Mark Shacker1, Andrés R Latorre-Rodríguez2, Sumeet K Mittal1,2
1School of Medicine, Creighton University, Phoenix, AZ, USA.
概括
腹部膨胀在GERD患者中很常见,经常被低估. 经过GERD手术后,胀气的严重程度和频率通常会降低,这挑战了以前的信念.
科学领域:
- 胃肠病学 胃肠病学
- 手术科学 手术科学
- 生活质量研究 研究 生命质量研究
背景情况:
- 腹部膨胀 (AB) 是胃食道逆流病 (GERD) 患者常见的,但往往被低估的症状.
- AB显著影响患者的不满,并降低生活质量.
- 有限的数据存在于机械GERD控制程序之前和之后的AB流行和严重程度.
研究的目的:
- 评估和确定GERD患者腹部胀气的患病率和严重程度.
- 为了评估腹部胀气在抗逆流体手术 (ARS) 之前和之后的变化.
主要方法:
- 在 MEDLINE,EMBASE 和 Taylor & Francis 在线 (1977-2022) 进行了结构化的文献搜索.
- 包括15篇文章,报告AB流行或严重程度,使用ARS前后的生活质量调查问卷.
- 分析了各种外科手术方法的数据,包括 fundoplication,磁性关节增大和抗逆流切除术.
主要成果:
- 在抗逆流体手术前观察到腹部胀气的高患病率.
- 术后评估显示,在大多数手术方法中,AB的患病率和严重程度都下降了.
- 完整的基底复合与最高报告的术后AB率有关,尽管患者报告的整体症状有所改善.
结论:
- 与手术前状态相比,抗逆流体手术通常会导致腹部胀气的频率和严重程度降低.
- 常见的假设,手术后胀气是ARS不可避免的后果,需要重新评估.
- 需要客观的测量工具来准确确定GERD中AB的真实患病率和影响.
相关概念视频
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