与间隙带相关的食道疾病的综合评估:从大数据分析的见解
Fadi Abu Baker1, Edoardo Savarino2, Helal Said Ahmad3
1Department of Gastroenterology and Hepatology, Hillel Yaffe Medical Center, Hadera, Israel.
Dysphagia
|January 29, 2024
概括
间隙 (HH) 是常见的,影响16.8%的患者. 这种情况独立地与侵蚀性反流性食道炎和巴雷特食道有关,与狭窄和马洛里韦斯综合征相关的较大的带有关.
科学领域:
- 胃肠病学 胃肠病学
- 消化系统疾病 消化系统疾病
- 食道病理 食道病理
背景情况:
- 间隙 (HH) 是一个常见的内镜发现.
- 它与各种食道疾病的关联需要进一步澄清.
研究的目的:
- 为了确定HH的患病率.
- 为了研究HH和食道病理之间的关联.
主要方法:
- 从超过7.5万名患者的内镜报告的回顾性审查.
- 对临床表现和食道病理的分析.
- 多重回归模型和多变量分析用于关联.
主要成果:
- 高血压的患病率为16.8%,其中大多数是小的 (<3厘米).
- HH独立地与侵蚀性反流食道炎 (OR=3.8) 和巴雷特食道 (OR=4.7) 相关.
- 大型HHs与良性食道狭窄,马洛里-韦斯综合征和食物影响有关;观察到较低的阿喀拉西亚率.
结论:
- 高血压是常见的,并且与反流相关的疾病如食道炎和巴雷特食道严重相关.
- 较大的间隙与良性食道狭窄和其他特定病理的增加率相关.
- 这些发现强调了评估患有间隙的患者食道健康的重要性.
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