肠道感觉出了问题:肠-大脑相互作用障碍与肝脏疾病之间的纠关系
Manjeet Kumar Goyal1, Prerna Goyal2, Omesh Goyal3
1Department of Gastroenterology and Human Nutrition Unit, All India Institute of Medical Sciences, New Delhi 110029, Delhi, India.
World journal of hepatology
|June 12, 2025
概括
肠-大脑相互作用障碍 (DGBI) 经常与肝脏疾病并存,共享肠道失调症等机制. 解决肠肝轴是管理这些复杂疾病的关键.
科学领域:
- 胃肠病学和肝病学
- 神经胃肠病学 神经胃肠病学
- 微生物组研究 微生物组研究
背景情况:
- 肠-大脑相互作用障碍 (DGBI) 是一种与肠-大脑轴功能障碍相关的慢性胃肠道疾病.
- DGBI经常与肝脏疾病重叠,特别是肝硬化,症状恶化和治疗复杂化.
- 共同的机制包括肠道失调,增加肠道透性,炎症和改变的神经免疫信号.
研究的目的:
- 探索肠肝轴作为DGBIs和肝病/肝硬化之间的相互作用的中心调解器.
- 突出临床表现和新兴的诊断和治疗策略.
主要方法:
- 关于DGBI和肝脏疾病中的肠肝轴的当前文献的小综述.
- 讨论共享的病理生理机制.
- 强调综合性诊断和多学科治疗方法.
主要成果:
- 肠肝轴在DGBI和肝脏疾病的并发症中发挥着关键作用.
- 肝硬化中的门性高血压通过细菌过度生长和炎症加剧了DGBI症状.
- 临床表现包括耐火性胃肠道症状,营养不良和生活质量下降.
结论:
- 需要一种综合性诊断方法,结合成像,微生物组分析和生物标志物.
- 针对肠道微生物群,神经免疫路径和生活方式修改的治疗策略是有希望的.
- 多学科框架对于改善患者在这个复杂的交叉领域的结果至关重要.
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