磁控胶囊胃镜下持续开放型贲门与胃食管反流病关系的初探  

Relationship between opening cardia and gastroesophageal reflux disease under magneto-controlled capsule endoscopy

作　　者：李宁[1] 王艳[1] 宋巍[1] 高颖新[1] 郝建宇[1] 刘心娟[1] Li Ning;Wang Yan;Song Wei;Gao Yingxin;Hao Jianyu;Liu Xinjuan(Department of Gastroenterology,Beijing Chao-Yang Hospital,Capital Medical University,Beijing 100020,China)

机构地区：[1]首都医科大学附属北京朝阳医院消化内科,北京100020

出　　处：《中国医刊》2023年第3期266-268,共3页Chinese Journal of Medicine

摘　　要：目的探讨磁控胶囊胃镜下持续开放型贲门与胃食管反流病之间的关系。方法纳入2022年8—11月在首都医科大学附属北京朝阳医院消化内科进行磁控胶囊胃镜检查的患者,选择影像检查贲门表现为非吞咽状态下持续开放状态的18例患者作为开放型贲门组,采用1:1的比例匹配性别、年龄相近的贲门持续闭合良好患者18例作为闭合型贲门组。回顾性分析两组患者的人口学特征、临床症状及诊断等临床资料,并通过电话随访请每位患者填写胃食管反流病问卷(gastroesophageal reflux disease questionnaire,GerdQ)。结果开放型贲门组与闭合型贲门组性别、年龄、身高、体重、体重指数差异均无显著性(P>0.05),开放型贲门组GerdQ评分为8.00(6.50,9.00)分,显著高于闭合型贲门组的1.00(0.00,2.00)分,差异有显著性(P<0.005)。结论非吞咽状态下贲门持续开放可能是胃食管反流病的重要表现,其对胃食管反流病的诊断价值值得进一步探讨。Objective To explore the relationship between continuous open cardia and gastroesophageal reflux.Method Patients who underwent a magnetron capsule endoscopy in Beijing Chao-yang Hospital Affiliated to Capital Medical University from August 2022 to November 2022 were selected.According to the imaging cardiac findings,18 patients with persistent open state in the non-swallowing state were in the open cardia group,and 18 patients with good continuous cardiac closure according to 1:1 matched sex and similar age were considered as the closed cardia group.Clinical data,such as demographic characteristics,clinical symptoms and diagnosis of both groups,were retrospectively analyzed,and each patient was invited to fill in the gastroesophageal reflux disease questionnaire(gastroesophageal reflux disease questionnaire,GerdQ)by telephone.Result There was no significant difference in sex,age,height,weight,or body mass index between the open and closed cardia groups(P>0.05).The GerdQ score of the open cardia group was 8.00(6.50,9.00),which was significantly higher than the 1.00(0.00,2.00)score of the closed cardia group,and the difference was significant(P<0.005).Conclusion The GerdQ score is significantly increased in patients with non-swallowing persistent opening cardia under MCE.The value of this manifestation in the diagnosis of GERD deserves further investigation.

关 键 词：胃食管反流病 贲门 胶囊内镜 

分 类 号：R573[医药卫生—消化系统]