胃食管反流病的食管外表现及其识别和处理  

Extra-esophageal manifestations,recognition and management of gastro-esophageal reflux disease

作　　者：陈芷珉[1] 方秀才[1] 柯美云[1] 

机构地区：[1]中国医学科学院北京协和医学院北京协和医院消化内科,北京100730

出　　处：《中国实用内科杂志》2010年第8期755-757,共3页Chinese Journal of Practical Internal Medicine

摘　　要：食管外表现是胃食管反流病(GERD)患者常见症状。为更好地认识和处理GERD的食管外表现,需了解GERD食管外表现的发生率和发生机制。许多研究已证实,GERD与食管外表现的密切关系,但两者之间的因果关系尚不清楚。PPI试验性治疗是一种简单、非侵入性有助于识别GERD相关食管外表现的方法。食管外表现的治疗需要延长抗反流治疗的时间以及加大治疗的力度。Summary：Extra-esophageal manifestations thought to be common symptoms in patients with gastro-esophageal reflux disease （GERD）. To understand and treat extra-esophageal manifestations of GERD better,it is necessary to investigate the incidence of extra-esophageal manifestations and its mechanism in GERD. We performed a review of articles in PubMed and EMBASE. Most of the studies showed there was close association between extra-esophageal manifestations and GERD, however, relationship of cause with outcome was not determined. PPI empiric therapy is a simple,non-invasive way to help to recognize extra-esophageal manifestations in GERD. The treatment of extra-esophageal symptoms in GERD is hard. We should prolong and strengthen anti-reflux therapy.

关 键 词：食管外表现 胃食管反流 

分 类 号：R5[医药卫生—内科学]