功能性失调症的多学科评估和管理
Jaimie Anderson1, Wojciech Blonski2,3, Joy Gaziano1
1Joy McCann Culverhouse Center for Swallowing Disorders Division of Digestive Diseases and Nutrition, Speech Language Pathology, University of South Florida, Tampa, Florida.
Gastro hep advances
|October 23, 2025
概括
功能性消化不良 (FD) 涉及没有明确的身体原因的吞困难,通常与肠-大脑相互作用有关. 涉及胃肠病学家,SLP和GI心理学家的多学科方法是有效管理的关键.
科学领域:
- 胃肠病学和神经胃肠病学
- 肠-大脑相互作用的障碍 (DGBI)
- 吞障碍 吞障碍 吞障碍
背景情况:
- 功能性消化不良 (FD) 根据罗马四号标准定义为没有可识别的食道疾病的吞困难.
- FD被归类为功能性胃肠道障碍 (FGID) 和肠-大脑相互作用障碍 (DGBI).
- 病理生理学涉及复杂的肠-大脑轴信号,可能导致内脏过敏和中枢神经系统失调.
研究的目的:
- 提供功能性消化障碍的全面概述,包括其定义,流行病学,病理生理学和临床特征.
- 详细介绍一种独特的,多学科的方法来管理FD患者.
- 突出胃肠病学家,语音语言病理学家和胃肠道心理学家在FD护理中的合作作用.
主要方法:
- 这篇叙述性综述综合了FD的当前知识.
- 它详细介绍了南佛罗里达大学吞障碍中心的一种特定的多学科评估和治疗模式.
- 该审查涵盖了FD定义,流行病学,病理生理学,临床特征,相关疾病和治疗.
主要成果:
- FD缺乏标准化的评估和治疗方案,通常是排除的诊断.
- 管理策略经常是从其他FGID中调整出来的.
- 多学科的方法对于最佳的患者护理至关重要.
结论:
- 功能性失调症的管理需要一个协作,多学科的团队.
- 描述的方法整合了胃肠病学,语音语言病理学和胃肠道心理学方面的专业知识.
- 需要进一步的研究和标准化的协议来评估和治疗FD.
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