关于胃食道逆流的胃食道外表现的最新情况
Annel M Fernandez1,2, Walter W Chan1,2,3
1Department of Medicine, Brigham and Women's Hospital.
Current opinion in gastroenterology
|April 25, 2024
概括
胃外逆流 (EER) 导致具有挑战性的呼吸道症状. 个性化诊断和多学科管理,包括反流检测和向治疗,改善患者的治疗结果.
科学领域:
- 胃肠病学 胃肠病学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 肺部病理学 肺部病理学
背景情况:
- 外食道逆流 (EER) 呈现出复杂的上下呼吸道症状.
- 对EER表现的诊断和管理带来了临床挑战.
研究的目的:
- 审查EER的呼吸道表现的病理生理学,测试和治疗的临床进展.
- 讨论当前的理解和管理与EER相关的气道状况的未来方向.
主要方法:
- 关于最近临床进展和发展的文献综述.
- 对EER的诊断范式和治疗算法的分析.
主要成果:
- 喉症状有多因素的原因,包括EER,过敏和大脑-喉相互作用.
- 喉回流 (LPR) 诊断正在转向个性化,非侵入性策略.
- 下呼吸道EER可以导致肺功能障碍并影响移植结果,即使没有食道症状.
- 阻抗技术,特别是新型指标,显示出对诊断非酸性反流的前景.
结论:
- 标准化,多学科的方法对于EER诊断和管理至关重要.
- 考虑不同的表型,非反流因素和肠-呼吸道相互作用是必不可少的.
- 及时的抗逆流疗法,基于仔细的患者选择,可以改善呼吸道并发症的结果.
相关概念视频
Gastroesophageal Reflux Disease II: Clinical Features and Management
73
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...
73
Gastroesophageal Reflux Disease I: Meaning and Pathophysiology
311
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...
311
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
Other Disorders of Digestive System
806
The gastrointestinal tract is susceptible to various disorders. If the lower esophageal sphincter is damaged, stomach acid can flow back into the esophagus, causing irritation and inflammation of the lining. This condition is called gastroesophageal reflux disease (known as heartburn) and may cause chest pain and difficulty swallowing. In the stomach, prolonged use of nonsteroidal anti-inflammatory drugs like aspirin, chronic alcohol consumption, bacterial infections such as Helicobacter...
806
Esophageal Strictures-I: Introduction
87
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...
87
Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies
115
Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
115


