在儿科年龄的食道食物球体冲击
Paolo Quitadamo1, Antonia Pascarella2, Piergiorgio Gragnaniello3
1Pediatric Gastroenterology and Epatology Unit, Santobono-Pausilipon Children's Hospital, Naples, Italy.
Journal of pediatric gastroenterology and nutrition
|April 16, 2024
概括
儿科食道食物冲击 (EFI) 经常与性食道炎 (EoE) 相关,特别是在年龄较大的儿童中. 在内镜切除后的及时诊断和活检对于完整的评估至关重要.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 食道疾病 食道疾病
- 过敏和免疫学 过敏和免疫学
背景情况:
- 食道食物冲击 (EFI) 是突然出现的消化障碍,需要内镜去除.
- 关于儿童EFI的患病率和原因的数据有限.
研究的目的:
- 调查儿科患者食道食物损伤的患病率和潜在原因.
- 为儿童EFI的诊断评估提供见解.
主要方法:
- 首次出现EFI的儿童的未来入学情况 (2018年3月-2023年3月).
- 光学对比研究,以确认球体的存在和位置.
- 透视玻尿酸提取 (食管胃管透镜) 与常规食管活检用于组织学.
主要成果:
- 41名儿童首次接受EFI治疗;流口水是最常见的症状.
- 在48.8%的病例中诊断出乳酸性食道炎 (EoE) (20/41).
- 其他原因包括狭窄 (解剖,胃,先天性),食道炎,重复和;25%的原因未确定,可能与饮食习惯有关.
结论:
- 这项研究是对儿童患者评估食品玻尿酸冲击的最大系列.
- EoE是一种常见的潜在疾病,占儿童,特别是老年人EFI发作的一半.
- 消化管切除术后的食管活检对于儿科EFI的全面诊断至关重要.
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