恐惧,养和肠道:ARFID和胃肠道症状的成年人营养支持考虑
Jamie Bering1, John K DiBaise1
1Division of Gastroenterology and Hepatology, Mayo Clinic Arizona, 13400 E. Shea Blvd, Scottsdale, AZ 85259, USA.
Nutrients
|March 14, 2026
概括
在患有胃肠道问题的成年人中,回避性/限制性食物摄入障碍 (ARFID) 是未被认可的. 管理需要多学科的护理,对侵入性营养支持的证据有限.
科学领域:
- 胃肠病学 胃肠病学
- 精神病学是一个精神病学.
- 营养科学 营养科学
背景情况:
- 避免/限制性食物摄入障碍 (ARFID) 在成年人中越来越多地被认可,特别是那些有胃肠道 (GI) 障碍的人.
- 在ARFID和胃肠道疾病之间存在双向关系,害怕症状会导致限制,营养不良会使胃肠道问题恶化.
- 有限的证据指导成人胃肠病患者ARFID的营养管理.
研究的目的:
- 审查ARFID在成年人肠道疾病中的流行病学,临床特征和营养后果.
- 专注于胃肠道临床医生的查,诊断和多学科管理原则.
- 评估营养支持疗法的作用在这个人群中.
主要方法:
- 对当前文学进行叙述性回顾.
- 关于ARFID在成年胃肠道患者中的证据综合.
- 专注于查,诊断和管理策略.
主要成果:
- 在成年胃肠道患者中,ARFID是营养不良和症状负担的重要因素.
- 成年ARFID的肠道或肠外营养证据稀少,通常是从儿科/回顾性数据中推断出来的.
- 专家指南警告不要进行常规/长期的侵入性营养支持.
结论:
- 在成年人胃肠道疾病中,ARFID被认为是不足的,导致营养不良和症状增加.
- 多学科护理和常规查是必不可少的.
- 需要高质量的前性研究来制定基于证据的治疗指南.
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