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对食道缺少收缩性的方法:我们能做得更好吗?
Amir Mari1, Sari Cohen2, Daniel L Cohen3
1Gastroenterology and Endoscopy Unit, Nazareth Hospital EMMS, Faculty of Medicine, Nazareth, Israel, Bar-Ilan University, Israel (Amir Mari, Tawfik Khoury).
Annals of gastroenterology
|March 14, 2024
概括
缺席收缩性 (AC),一种罕见的食道运动障碍,缺乏食道收缩,但保持了缩器放松. 这篇评论探讨了ACAC的情况.
科学领域:
- 胃肠病学和临床生理学
- 食道运动障碍 食道运动障碍
- 风湿病学和自身免疫性疾病
背景情况:
- 缺席收缩性 (AC) 是一种主要的食道周立体障碍,通过高分辨率计量法确定.
- 它经常与自身免疫性疾病 (如硬化皮质) 一起发生,并导致胃食道逆流症状.
- AC显著影响患者,导致诸如食道炎,角膜炎,巴雷特食道和营养不良等并发症.
研究的目的:
- 为了全面了解缺席收缩性 (AC),一个显著的食道运动障碍.
- 审查AC及其相关并发症的诊断和管理方面的最新进展.
- 强调需要采用多学科方法来管理AC,考虑个体患者表现和潜在的类风湿病症.
主要方法:
- 本综述通过对最近文献的深入评估,综合了关于缺席收缩性 (AC) 的当前知识.
- 它检查了AC的诊断标准,临床表现和常见的并发症.
- 该审查评估了AC及其后续的当前和新兴治疗策略.
主要成果:
- 缺席收缩性 (AC) 的特点是缺席食道收缩与正常的下食道关节放松.
- 这种疾病通常与结合性组织疾病,特别是硬化皮质有关,并与胃食道逆流有关.
- 并发症包括侵蚀性食道炎,食道候群,巴雷特食道和营养不良,需要全面管理.
结论:
- 缺席收缩性 (AC) 是一种独特的食道运动障碍,需要彻底理解和管理.
- 综合临床表现和风湿病状的多学科方法对于有效的AC治疗至关重要.
- 虽然反流的医疗管理是主要的,但对于耐火病例,手术和内镜选择正在出现.
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