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在患有炎症性肠道疾病的患者中同时出现功能性胃肠道疾病
Caroline Walker1, Anna Boland1, Andrew Carroll1
1Gastroenterology Department, Tallaght University Hospital, Dublin, Ireland.
Frontiers in gastroenterology (Lausanne, Switzerland)
|March 13, 2026
概括
功能性胃肠道疾病 (FGIDs) 影响25%的炎症性肠病 (IBD) 患者. 在IBD中诊断FGID至关重要,以避免不必要的治疗和有效管理症状.
科学领域:
- 胃肠病学 胃肠病学
- 神经胃肠病学 神经胃肠病学
- 心理胃肠道学
背景情况:
- 大约25%的静止性炎症性肠病 (IBD) 患者出现了归因于功能性胃肠道疾病 (FGID) 的症状.
- 在IBD中FGID的病理生理学是复杂的,涉及肠-大脑轴,运动性,微生物组和内脏过敏.
- 区分IBD和FGID症状可能具有挑战性,可能导致误诊和不适当的治疗升级.
研究的目的:
- 突出IBD患者中FGID的患病率和多因素性质.
- 强调在IBD中迅速诊断FGID的重要性,以优化治疗策略.
- 在IBD的背景下,审查FGID目前的管理方法.
主要方法:
- 文献综述和对IBD中FGIDs现有研究的综合.
- 对IBD中FGID病理生理学的贡献因素的分析.
- 讨论诊断挑战和治疗考虑.
主要成果:
- 在IBD中,FGID很常见,与基础IBD共享症状和复杂的病理生理学.
- 早期的FGID诊断可以防止不必要的皮质类固醇使用和IBD治疗升级.
- 对于IBD的FGID干预措施,存在有限的随机对照试验,需要适应的管理策略.
结论:
- FGID在IBD中代表着显著的并发症,影响患者的福祉和医疗保健利用率.
- 彻底的诊断方法对于识别和管理IBD中重叠的FGID至关重要.
- 需要进一步的研究和临床试验,以建立基于证据的IBD患者的FGID治疗方法.
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