自免疫性胃炎的长期自然史:从一个潜在的单心系列的结果
Emanuela Miceli1, Marco Vincenzo Lenti1,2, Antonella Gentile2
1First Department of Internal Medicine, Fondazione IRCCS Policlinico, San Matteo, Pavia, Italy.
The American journal of gastroenterology
|December 5, 2023
概括
自身免疫性胃炎 (AIG) 是一种渐进的疾病. 监测潜在的AIG至关重要,因为它具有发展为明显的AIG的高风险,胃腺癌的风险非常低.
科学领域:
- 胃肠病学 胃肠病学
- 免疫学 免疫学 免疫学
- 在瘤学瘤学.
背景情况:
- 自免疫性胃炎 (AIG) 的自然史尚未得到充分证实.
- 了解AIG进展对于患者管理和风险分层至关重要.
研究的目的:
- 描述自身免疫性胃炎 (AIG) 的长期自然史.
- 分析AIG在其全谱的临床聚类和进展.
- 为了确定与AIG演变相关的因素.
主要方法:
- 从2000年到2022年,对498名患有AIG (阶段0-4) 的患者进行了前性单中心研究.
- 评估了他的病理演变,临床表现和进展的相关性.
- 分析了疾病持续时间,随访和并发症率.
主要成果:
- 随访时间中位数为52个月,疾病持续时间最长为27年.
- 整体中位数进展率为每100人年7.29,在早期阶段更高.
- 在8.5%的患者中发生了新发性并发症;男性性别与从潜在到明显的AIG的进展相关.
结论:
- 自身免疫性胃炎 (AIG) 是一种进展性疾病,胃腺癌的风险很小.
- 潜在的AIG患者需要监测,因为有明显AIG进展的重大风险.
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