在治疗腹腔疾病方面有什么新鲜事?
Mohamed G Shiha1, David S Sanders1
1Academic Unit of Gastroenterology, Sheffield Teaching Hospitals, Sheffield, UK; Division of Clinical Medicine, School of Medicine and Population Health, University of Sheffield, Sheffield, UK.
European journal of internal medicine
|February 2, 2025
概括
结肠病是一种免疫介导的肠病,影响1%的人口,往往仍未被诊断出来. 早期诊断和终身无质饮食对于管理这种多系统自身免疫性疾病至关重要.
科学领域:
- 胃肠道学和免疫学
- 自身免疫性肠道病变 自身免疫性肠道病变
背景情况:
- 结肠病是全球最常见的免疫介导肠病,影响人口的1%左右.
- 很大一部分患有乳病的人仍未被诊断出来.
- 在遗传倾向的个体 (HLA-DQ2/DQ8) 中,它是由质触发的.
研究的目的:
- 为了提供关于腹腔疾病的全面更新.
- 强调其在医疗专业中的相关性.
- 突出诊断和管理的多学科方法的必要性.
主要方法:
- 目前关于腹腔疾病的文献综述.
- 专注于诊断标准,包括血清学和十二指肠活检.
- 讨论临床表现和治疗.
主要成果:
- 结肠病表现为各种胃肠道和肠外症状,或可以无症状.
- 诊断依赖于临床怀疑,血清学标志物和十二指肠活检.
- 严格的无质饮食是唯一的治疗方法,但20%的人经历了持续的症状.
结论:
- 内部医学临床医生在诊断腹腔疾病方面发挥着关键作用,减少了诊断延迟.
- 建议使用低血清检测值进行早期检测.
- 多学科的方法对于最佳的乳病管理至关重要.
相关概念视频
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
306
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
306
Chronic Pancreatitis II: Collaborative Care
60
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
60
Inflammatory Bowel Disease IV: Pharmacological Management
100
Upon diagnosis, managing Inflammatory Bowel Disease (IBD) involves addressing several crucial aspects. The primary goals include resting the bowel, correcting malnutrition, and providing symptomatic relief. Resting the bowel may consist of medications to reduce inflammation and promote healing. Correcting malnutrition is essential, often requiring dietary adjustments and nutritional supplements. Symptomatic relief aims to ease pain, diarrhea, and other discomforts in IBD.
Pharmacologic...
Pharmacologic...
100
Inflammatory Bowel Disease V: Surgical Management
103
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
103
Peptic Ulcer Disease IV: Management
60
Medical treatment strategies for peptic ulcers encompass various methods. The primary goal of treatment is to diminish gastric acidity and strengthen mucosal defense mechanisms.
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
60
Diabetes: Management and Pharmacotherapy
232
The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
232


