食道病理和空气消化三重内镜治疗儿科复发性形
Stephen Liangtjan Trisno1, Michael Carver2, Douglas Sidell3
1Division of Pediatric Gastroenterology, Hepatology & Nutrition, Lucile Packard Children's Hospital, School of Medicine, Stanford University, CA, USA.
概括
复发性 (RC) 可能与食道疾病有关,如性食道炎 (EoE) 和反流食道炎. 多学科的评估可以帮助确定这些经常被忽视的原因在儿童RC.
科学领域:
- 儿科肺病学 儿科肺病学
- 胃肠病学 胃肠病学
- 过敏 免疫学 免疫学
背景情况:
- 复发性 (RC) 呈现出重复的和吠声咳.
- 非传染性因素如GERD,过敏和呼吸道异常是可疑的RC的原因.
- 新出现的证据表明食道疾病和RC之间的联系.
研究的目的:
- 为了调查食道疾病和复发性之间的关联.
- 在RC患者中探索诸如乙性食道炎 (EoE) 和反流食道炎等疾病的患病率.
- 评估多学科空气消化方法的实用性.
主要方法:
- 对68名被诊断为RC的患者进行了回顾性分析.
- 多学科空气消化中心评价.
- 在47名患者身上进行了双重或三重内镜检查.
主要成果:
- 在接受内镜检查的36%患者中发现了食道疾病.
- 反流性食道炎 (19%) 和EoE (15%) 是最常见的食道发现.
- 食物过敏在EoE组中更常见;在EoE患者中,胃肠道症状是常见的.
结论:
- 食道疾病,特别是EoE,在患有复发性的患者中很普遍.
- 多学科的气消化评估对于诊断RC中并发的食道疾病是有价值的.
- 需要进一步的研究来确定食道疾病和RC之间的因果关系.
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