胃食管结类型与耐火性反流性食道炎之间的相关性
Zhiyong Wen1, Weihua Liu1, Jialing Li1
1Gastroenterology Department, Pingxiang People's Hospital Pingxiang, Jiangxi, China.
概括
耐药性胃食道逆流性疾病 (RGERD) 与食道胃结 (EGJ) 类型有关,特别是III型. 异常的EGJ结构通过降低LES压力和增加酸暴露,降低了酸抑制疗法的有效性.
科学领域:
- 胃肠病学 胃肠病学
- 食道生理学 食道生理学
- 酸反流障碍 酸反流障碍
背景情况:
- 耐药性胃食道逆流性疾病 (RGERD) 在治疗中构成了挑战.
- 消化管胃结 (EGJ) 在RGERD和治疗反应中的作用需要进一步阐明.
研究的目的:
- 调查EGJ亚型与RGERD之间的相关性.
- 评估EGJ亚型对抑制酸性疗法的疗效的影响.
主要方法:
- 81名患有逆流食道炎 (RE) 的患者的前性队列研究.
- 高分辨率测量仪 (HRM) 用于对EGJ亚型 (I-III) 的分类.
- 进行为期8周的芳酸治疗,随后进行24小时的pH阻抗监测,以评估RGERD.
主要成果:
- 第三类EGJ与RGERD的关联最强.
- EGJ亚型与食道下 (LES) 压力负相关 (r=-0.626,P<0.001).
- 在EGJ亚型 (P<0.001) 之间观察到反流指标 (总反流,酸暴露,长期反流,DeMeester得分) 的显著差异.
结论:
- EGJ类型显著影响RGERD的发展,与类型III最相关.
- 异常的EGJ结构降低了LES压力,增加了酸暴露.
- 这些因素降低了RGERD患者的酸抑制治疗的疗效.
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