性结肠炎:超越了粘膜的教条
Elisabeth Eggermont1, Krisztina Gecse2, Noa Krugliak Cleveland3
1Department of Gastroenterology and Hepatology, University Hospitals Leuven, KU Leuven, Leuven, Belgium; Department of Chronic Diseases and Metabolism, University Hospitals Leuven, KU Leuven, Leuven, Belgium.
The lancet. Gastroenterology & hepatology
|October 31, 2025
概括
性结肠炎涉及更深层的肠道层,而不仅仅是粘膜. 这些通过肠道超声波观察到的转移性变化可能解释持续的症状,并影响未来的性结肠炎治疗策略.
科学领域:
- 胃肠病学 胃肠病学
- 炎症性肠道疾病研究研究
- 医疗成像医学成像
背景情况:
- 性结肠炎 (UC) 传统上被视为粘膜疾病.
- 克罗恩氏病 (CD) 的特征是转移性炎症和纤维化.
- 新出现的证据表明,UC还涉及更深层的肠道层.
研究的目的:
- 总结一下UC中超神经变化的证据.
- 突出显示超声波,宏观和组织病理学发现.
- 讨论UC理解和治疗的含义.
主要方法:
- 审查现有的超声波,宏观和组织病理学数据.
- 肠道超声波用于肠壁的体内特征.
- 对宏观和组织学发现的分析.
主要成果:
- 超壁性变化:肠壁厚度增加,下粘膜变厚,分层丧失,腹部损失,中肠纤维脂肪增多.
- 观察到更深层次的变化,如结肠缩短,纤维缩小和肌肉重塑.
- 下粘膜厚可能甚至在内镜缓解中持续存在.
结论:
- UC延伸到粘膜之外,表现出跨壁的变化.
- 这些变化可能导致持续的功能性肠道症状.
- 将UC认定为一种渐进的跨神经性疾病,可能会为未来的治疗目标提供信息.
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