巴雷特食道的疾病负担遍及巴黎大都会地区
Maximilien Barret1, Mathis Collier2, Viet-Thi Tran3
1Department of Gastroenterology and Digestive Oncology, Cochin Hospital, AP-HP.Centre - Université Paris Cité, France; Université de Paris, France.
概括
巴雷特食道 (Barrett's esophagus,BE) 影响了巴黎地区超过20万人,其中11%的人患有发育不良或腺癌. 这一发现凸显了在法国为BE患者量身定制的医疗保健策略的必要性.
科学领域:
- 胃肠病学 胃肠病学
- 流行病学 流行病学
- 在瘤学瘤学.
背景情况:
- 巴雷特食道 (BE) 在法国的患病率尚不清楚.
- 有效管理失塑性BE对于预防侵袭性腺癌至关重要.
- 确定巴黎地区的BE患者负担对于医疗保健规划至关重要.
研究的目的:
- 确定巴雷特食道患者在巴黎地区的患病率和特征.
- 估计巴黎地区BE个体的数量.
- 为了确定患有发育不良或腺癌的BE患者的比例.
主要方法:
- 使用39家巴黎大区公共医院 (2018) 电子医疗记录进行的回顾性研究.
- 在内镜和病理学报告中应用自然语言处理来识别BE病例.
- 对患者人口统计,并发病症和H.Pylori状态的分析.
主要成果:
- 观察到巴雷特食道的患病率为2.2%.
- BE患者通常是年长的,男性,患有间歇性,使用质子抑制剂,并且感染H.Pylori的几率较低.
- 百分之十一的B.E.患者出现了发育不良或腺癌.
结论:
- 据估计,巴黎地区约有20万个人可能患有巴雷特食道.
- 这些患者中有很大一部分 (11%) 患有发育不良或腺癌,需要专注的临床治疗.
- 这些流行病学发现应该为法国的BE医疗保健资源分配和管理策略提供信息.
相关概念视频
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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...
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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...
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Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
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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.
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GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
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