相关实验视频
Updated: Jan 18, 2026

11:19
Robotic Myotomy and Partial Fundoplication for Achalasia
Published on: August 11, 2023
1.9K
食道胃口交叉口的力度参数能力:一个系统的文献综述
Arianna Vittori1,2, Francesca Senzani3, Andrés R Latorre-Rodríguez1,4
1Norton Thoracic Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, USA.
Neurogastroenterology and motility
|September 12, 2025
概括
人口测量为胃食管逆流症 (GERD) 的食管胃口结 (EGJ) 功能提供了洞察力. 虽然没有单一的测量力度指标可靠地预测GERD,但一些指标在评估EGJ能力以指导治疗决策方面表现有希望.
科学领域:
- 胃肠病学 胃肠病学
- 食道生理学 食道生理学
- 诊断性表现 诊断性表现
背景情况:
- 胃食道逆流性疾病 (GERD) 的诊断依赖于内镜和pH监测.
- 消化管胃结 (EGJ) 形态生理学评估可以通过测量增强.
- 人力测量在预测GERD中的作用需要进行系统的评估.
研究的目的:
- 系统地审查GERD预测的测力参数的诊断性能.
- 总结对评估EGJ能力的测量力度指标的发现.
主要方法:
- 在 MEDLINE,Embase 和 EBSCO (1970-2024) 的系统搜索.
- 包括成人研究,比较GERD与非GERD组中的测量力度指标.
- 使用pH监测或里昂标准作为参考标准;评估诊断性能和偏差.
主要成果:
- 分析了59项研究 (10,672名患者).
- 低食道关节 (LES) 长度值显示出可变的灵敏度和特异性.
- 在LES压力,EGJ收缩积分 (EGJ-CI),LES压力积分 (LESPI),EGJ形态和跨腹压力梯度方面观察到GERD和非GERD组之间的显著差异.
- 像总EGJ-CI和直腿提升机动这样的新型指标显示出有前途的诊断性能.
结论:
- 没有一个单一的 manometric EGJ 度量可靠地预测 GERD.
- 某些压力计参数显示出评估EGJ能力的潜力.
- 这些指标可以指导治疗决策,特别是扩大内镜和手术选择.
相关概念视频
Esophageal Strictures-II: Clinical Features and Management
440
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
440
Barrett Esophagus-II: Clinical Manifestations and Management
808
Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
808
Esophageal Strictures-I: Introduction
652
Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
652
Esophageal Varices-II: Clinical Features and Management
378
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
378
Esophageal Varices-I: Introduction
1.2K
Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
1.2K
Gastroesophageal Reflux Disease II: Clinical Features and Management
707
Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
707

