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机构地区:[1]内蒙古医学院,2007级研究生呼和浩特010110 [2]内蒙古医学院第一附属医院消化内科,呼和浩特010050
出 处:《医学综述》2009年第24期3776-3778,共3页Medical Recapitulate
摘 要:胃食管反流病食管外并发症是因胃、十二指肠内容物反流引起食管外不适症状及(或)并发症。随着胃食管反流病食管外并发症的患病率近年来在我国增多,及流行病学和病理生理学研究的深入,发现这些并发症严重影响患者的生活质量,甚至引起患者死亡,使此并发症诊断与治疗越来越受到消化内科和相关学科的重视。该文综述了质子泵抑制剂试验、胃镜检查、食管pH监测、食管阻抗测验、食管测压等胃食管反流病食管外并发症的诊断方法,及通过改变生活方式、抗酸药和促动力药治疗、手术与内镜治疗等胃食管反流病食管外并发症的治疗进展。The extraesophageal discomforts or complications in GERD was caused by reflux of gastric and duodenal content in the esophagus. With the gradual increase in the morbidity of extraesophageal complications in GERD within China,as well as the advancement in the study of epidemiology and pathophysiology, It was found that these complications had casted a great influence over the patients'life quality,or even resulting in patient death, thus, the diagnosis and treatment of these extraesophageal complications have arisen the concern from the gastrointeatinal physicians and other medical fileds related. This article reviewed the progressions in relating to extraesophageal complications in GERD including the diagnosis of these complications by the proton pump inhihitor test,endoscopy,esophageal pH monitoring, esophageal impedance tests,esophageal manometry as well as treatment through the alteration of lifestyle,the administration of antacids and prokinctic drugs,surgery, and endnscopy.
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