内镜在埃索诺菲尔性食道炎中的作用
1Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Clinical endoscopy
|July 5, 2024
概括
异性食道炎 (EOE) 诊断需要食道活检,即使在正常内镜视图下也是如此. 随访活检评估了这种慢性免疫病的治疗反应.
科学领域:
- 胃肠病学 胃肠病学
- 免疫学 免疫学 免疫学
- 病理学 病理学 病理学
背景情况:
- 性食道炎 (EoE) 是一种慢性免疫介导的食道炎症.
- 内镜对于EoE诊断至关重要,揭示了特征性发现,如,环和狭窄.
- 然而,即使在内镜检查期间食道看起来正常,EoE也可能存在.
研究的目的:
- 强调食道活检在诊断EoE中的重要性,无论其内镜外观如何.
- 强调随访内镜与活检在评估治疗反应中的作用.
- 讨论内镜超声波在EoE管理中的不确定的作用.
主要方法:
- 对儿科和成人EOE患者内镜检测结果的综述.
- 对活检样本在EoE诊断中的重要性进行分析.
- 考虑内镜超声波的发现.
- 对食道狭窄的内镜扩张疗效的评估.
主要成果:
- 食道活检对于EoE诊断至关重要,即使食道在内镜检查时看起来正常.
- 建议进行后续活检,以监测治疗反应.
- 内镜扩张是一种安全有效的治疗EoE患有狭窄症的患者的消化不良.
结论:
- 活检对于EoE诊断和监测至关重要,无论内镜可视化如何.
- 内镜超声波需要进一步调查其在EoE中的作用.
- 结合疗法包括内镜扩张是有效的管理EoE相关的狭窄和食障碍.
相关概念视频
Endoscopic Procedures I: Esophagogastroduodenoscopy
88
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
88
Endoscopic Procedures V: ERCP
170
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
170
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
185
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
185
Barrett Esophagus-II: Clinical Manifestations and Management
135
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...
135
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
71
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
71
Esophageal Strictures-II: Clinical Features and Management
61
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.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
61


