现在的反症候群的现状
Sydney Pomenti1, David A Katzka1
1Division of Digestive and Liver Diseases, Columbia University Medical Center, New York, NY, USA.
概括
化综合征 (RS) 是一种行为障碍,由于胃压力增加而导致吐. 治疗包括隔膜呼吸,生物反和认知行为疗法来控制症状.
科学领域:
- 胃肠病学 胃肠病学
- 行为医学是一种行为医学.
- 消化系统疾病 消化系统疾病
背景情况:
- 化综合征 (RS) 是一种被诊断不足的疾病,其特征是反复吐.
- 在RS中反是由于胃压力增加和逆转食道-胃压力梯度造成的.
- RS与肠-大脑相互作用障碍,GERD共享特征,并与情绪和饮食障碍有关.
研究的目的:
- 为提供有关反综合征的全面概述.
- 讨论诊断标准和挑战.
- 概述当前和潜在的治疗策略.
主要方法:
- 基于罗马标准的临床诊断.
- 在需要时进行辅助测试,如输入阻抗计等.
- 用于跟踪治疗反应的验证问卷.
主要成果:
- 在全球范围内,RS影响了所有人口统计数据中的3.1-5.8%.
- 常见的错误诊断包括GERD,胃,阿喀拉西亚和神经性饮食.
- 隔膜呼吸是主要的治疗方法,通常加上生物反,CBT或药物治疗.
结论:
- 早期诊断和RS的适当管理至关重要.
- 隔膜呼吸是RS的有效治疗方法.
- 经过验证的工具有助于监测患者的进展和治疗结果.
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