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相关概念视频

Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies01:28

Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies

111
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.
111
Pathophysiology of Peptic Ulcer Disease: Injurious Factors01:22

Pathophysiology of Peptic Ulcer Disease: Injurious Factors

570
Peptic ulcers are sores on the stomach's inner lining and the upper small intestine, which are the result of disruptions in the mucosal layer that houses parietal cells which produce gastric acid, and chief cells which secrete pepsinogen.
In the antrum region, G cells secrete the gastrin hormone that binds to gastrin-cholecystokinin-B (CCK2) receptors on parietal and enterochromaffin-like (ECL) cells in the fundic glands. Simultaneously, the vagus nerve releases acetylcholine, which binds...
570
Gastritis III: Clinical Manifestations and Management01:23

Gastritis III: Clinical Manifestations and Management

222
The clinical manifestations of gastritis can vary depending on the cause and type of gastritis, but some common symptoms may include the following.
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
222
Gastroesophageal Reflux Disease II: Clinical Features and Management01:29

Gastroesophageal Reflux Disease II: Clinical Features and Management

69
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...
69
Peptic Ulcer Disease I: Introduction01:30

Peptic Ulcer Disease I: Introduction

163
Peptic Ulcer Disease (PUD) is characterized by mucosal excavation in the esophagus, stomach, pylorus, or duodenum. It can manifest as acute or chronic based on the extent and duration of mucosal involvement.
An acute ulcer, marked by superficial erosion and minimal inflammation, swiftly resolves upon identifying and addressing the underlying cause. In contrast, a chronic ulcer persists, potentially eroding through the muscular wall and forming fibrous tissue.
Peptic ulcers can also be...
163
Gastritis-II: Pathophysiology01:17

Gastritis-II: Pathophysiology

319
Gastritis is marked by disruption of the mucosal barrier that usually protects the stomach tissue from digestive juices and manifests in acute and chronic forms.
In acute gastritis, the gastric mucosa becomes swollen and red and undergoes superficial erosion. Superficial ulceration may lead to bleeding.
In chronic gastritis, persistent or repeated insults lead to chronic inflammatory changes and, eventually, thinning or atrophy of the gastric tissue.
Gastritis can stem from various causes, each...
319

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相关实验视频

Updated: Jun 26, 2025

Author Spotlight: Point-of-Care Ultrasound for Gastric Content Assessment and Risk Stratification in Perioperative Care
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一个幽灵的胃上疼痛.

De-Feng Li1, Yan-Hui Tian2, Rui-Yue Shi1

  • 1Gastroenterology, Shenzhen People's Hospital, China.

Revista espanola de enfermedades digestivas
|May 20, 2024
PubMed
概括
此摘要是机器生成的。

这项研究提出了一种新的内镜方法来治疗由尾石引起的慢性尾炎. 内镜逆行性尾炎治疗成功地去除了石头,在一个年轻的患者中解决了持续的上胃疼痛.

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科学领域:

  • 胃肠病学 胃肠病学
  • 内視鏡外科手術 內視鏡外科手術
  • 腹部成像 腹部成像 腹部成像

背景情况:

  • 慢性上胃疼痛可能会使人衰弱,常规诊断通常会产生正常的结果.
  • 怀疑成年人的尾炎,特别是没有典型的急性症状的尾炎,会带来诊断上的挑战.
  • 此前对这个患者持续疼痛的治疗方法是无效的.

研究的目的:

  • 描述一种最小侵入性内镜技术,用于管理导致慢性腹痛的尾石.
  • 评估内镜逆行性尾炎治疗 (ERAT) 的疗效和安全性,用于治疗因尾炎引起的疑似尾炎.

主要方法:

  • 一名16岁的女性患者经历了一年的间歇性上胃疼痛,接受了腹部CT,显示尾壁胀.
  • 内镜逆行性尾炎治疗 (ERAT) 使用eyeMax范围和透明的帽子进行.
  • 该程序涉及导航尾孔,通过灌清除尾炎,并驱逐石头.

主要成果:

  • 腹部计算机断层扫描 (CT) 显示疑似尾炎与尾壁胀.
  • 通过灌,ERAT成功地识别并移除了大量的尾石.
  • 患者在手术后经历了表胃疼痛的完全消失,并在两天内出院.

结论:

  • 内镜逆行性尾炎治疗 (ERAT) 是对导致慢性腹痛的尾石的可行且有效的治疗方法.
  • 这种内镜方法为管理疑似尾炎的复杂病例提供了最少的侵入性替代方案.
  • 通过ERAT成功驱逐石头导致了迅速的症状缓解和短暂的住院.