埃索诺菲尔性食道炎:年龄是否重要?
Donnchadh O'Sullivan1, Maria Camila Cardenas1, Luisa Ricaurte2
1Department of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Journal of pediatric gastroenterology and nutrition
|April 2, 2024
概括
六岁以下的儿童患有欧性食管炎 (EOE) 往往会出现食问题和体重增加不良. 组合疗法在患有EoE的年轻儿童中显示出更高的缓解率.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 免疫学 免疫学 免疫学
- 过敏 过敏是一种过敏.
背景情况:
- 性食道炎 (EoE) 是一种慢性免疫介导的食道疾病.
- 在学龄儿童 (6-9岁) 中,诊断是常见的,但对年轻儿童的数据有限.
研究的目的:
- 根据儿童诊断时的年龄,比较EoE的临床表现,并发症和治疗结果.
- 为了确定EoE呈现和对治疗的反应中的特定年龄模式.
主要方法:
- 在2005年至2020年期间,对256名被诊断患有EoE的儿童 (<18岁) 进行了回顾性图表审查.
- 患者被分为三个年龄组:<2岁,2岁<6岁和6岁<18岁.
- 分析了临床数据,家族病史,并发症,治疗和内镜检查结果.
主要成果:
- 吐在2岁以下的儿童中很常见;体重增加不良在2岁至6岁以下的儿童中更为普遍.
- 年龄较大的儿童 (6-18岁) 更有可能出现食物冲击和腹痛.
- 组合疗法在6岁以下的儿童中实现了较高的缓解率 (85%),相比较于较大的儿童 (66%).
结论:
- 在患有食困难和体重增加不良的幼儿中,应该怀疑EoE.
- 结合疗法可能对患有EoE的年轻儿童更有效.
- 需要对更大的队列进行进一步的研究,以优化儿科EOE的组合治疗策略.
相关概念视频
Barrett Esophagus-I: Introduction
90
Barrett's esophagus is a medical condition where the esophageal mucosa is significantly damaged by stomach acid or other digestive fluids, often due to long-term exposure associated with gastroesophageal reflux disease (GERD). In GERD, a weakened or abnormally relaxed lower esophageal sphincter allows stomach acid to flow persistently into the esophagus.
This constant acid exposure transforms the esophagus's pink mucosal lining (stratified squamous epithelium) into a type of lining more...
This constant acid exposure transforms the esophagus's pink mucosal lining (stratified squamous epithelium) into a type of lining more...
90
Esophageal Strictures-I: Introduction
90
Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
90
Barrett Esophagus-II: Clinical Manifestations and Management
141
Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
141
Gastroesophageal Reflux Disease II: Clinical Features and Management
78
Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
78
Bone Disorders
3.5K
Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
3.5K
Gastroesophageal Reflux Disease I: Meaning and Pathophysiology
313
Gastroesophageal Reflux Disease (GERD) involves the recurrent backflow of the stomach or duodenal contents into the esophagus, leading to troublesome symptoms and potential esophageal mucosal damage. Although GERD is often referred to as a disease, it is more accurately described as a syndrome, as it encompasses a range of symptoms and complications rather than a singular pathological entity, impacting a large number of individuals as the most prevalent upper gastrointestinal problem. Roughly...
313


