在PPI维护疗法上的EoE复发:如果你不看,你就不知道!
Ryan Alexander1,2, Blake Kassmeyer3, Ryan Lennon3
1Department of Internal Medicine, Mayo Clinic Rochester, Rochester, USA. alexander.ryan2@mayo.edu.
Digestive diseases and sciences
|October 15, 2024
概括
质子抑制剂 (PPI) 维护疗法对异性食道炎 (EoE) 显示出44%的组织学复发率. 定期监测对于EoE患者在PPI上至关重要,以监测治疗的有效性.
科学领域:
- 胃肠病学 胃肠病学
- 免疫学 免疫学 免疫学
- 食道疾病 食道疾病
背景情况:
- 性食道炎 (EoE) 是一种慢性免疫介导的食道疾病.
- 在质子抑制剂 (PPI) 维持治疗期间EoE组织学复发的数据有限.
研究的目的:
- 评估接受PPI维持治疗的EoE患者组织学复发率.
- 评估PPI剂量策略对EOE组织学结果的影响.
主要方法:
- 对101名被诊断患有PPI反应性EoE的患者进行了回顾性审查.
- 随访食道胃二透镜 (EGD) 分析与活检,以评估组织学缓解或复发.
主要成果:
- 51%的患者进行了随访活检.
- 在44%的患者中观察到组织学复发.
- 在每天两次服用PPI的患者中,33%的患者出现了复发,通常是无症状的.
结论:
- 在接受PPI维持治疗的EoE患者中,很大一部分患者经历了组织学复发.
- 连续的临床,内镜和组织学监测对于管理EoE患者的PPI是有益的.
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