优化门诊逆流监测:当前的发现和未来的方向
Dhweeja Dasarathy1, Michael Vaezi1, Dhyanesh Patel1
1School of Medicine, and Division of Gastroenterology, Hepatology and Nutrition, Vanderbilt University Medical Center, Nashville, TN, USA.
Expert review of gastroenterology & hepatology
|December 25, 2023
概括
胃食道逆流性疾病 (GERD) 的诊断依赖于各种测试. 本综述探讨了利用当前的反流检测方法,以改善GERD患者的临床决策.
科学领域:
- 胃肠病学 胃肠病学
- 诊断医学 诊断医学
背景情况:
- 胃食道逆流性疾病 (GERD) 是一个普遍的门诊诊断.
- 诊断包括症状,治疗反应,内镜和pH测试.
研究的目的:
- 审查和评估各种反流检测模式的临床应用.
- 为了指导在GERD管理中使用诊断工具.
主要方法:
- 评估门诊逆流监测技术.
- 包括24小时pH/阻抗,无线pH监测和粘膜完整性测试.
- 专注于基于证据的临床实践.
主要成果:
- 门诊监测有助于GERD患者的决策,特别是那些症状持续或不响应PPI的患者.
- 测试测量了酸暴露和反流频率,以实现个性化治疗.
- 通过这些方法,可以确定患者的表型.
结论:
- 未来的研究应该简化监测,减少延迟,并提高耐受性.
- 目前的测试模式复杂且昂贵.
- 基于临床结果的研究是未来发展所需的.
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