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中华胃食管反流病电子杂志 ›› 2017, Vol. 04 ›› Issue (04) : 172 -174. doi: 10.3877/cma.j.issn.1674-6899.2017.04.008

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食管动力评估对胃食管反流病诊治的意义
潘红艳1, 冯艳艳1, 穆雪峰1, 康文全1,()   
  1. 1. 518052 深圳,深圳市南山区人民医院消化内科
  • 收稿日期:2017-09-10 出版日期:2017-11-15
  • 通信作者: 康文全

Meaning of esophageal motility evaluation to the gastroesophageal reflux disease diagnosis and treatment

Hongyan Pan1, Yanyan Feng1, Xuefeng Mu1, Wenquan Kang1,()   

  1. 1. Department of gastrology, Shenzhen Nanshan People′s Hospital, Shenzhen 518052, China
  • Received:2017-09-10 Published:2017-11-15
  • Corresponding author: Wenquan Kang
  • About author:
    Corresponding author: Kang Wenquan, Email:
引用本文:

潘红艳, 冯艳艳, 穆雪峰, 康文全. 食管动力评估对胃食管反流病诊治的意义[J]. 中华胃食管反流病电子杂志, 2017, 04(04): 172-174.

Hongyan Pan, Yanyan Feng, Xuefeng Mu, Wenquan Kang. Meaning of esophageal motility evaluation to the gastroesophageal reflux disease diagnosis and treatment[J]. Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition), 2017, 04(04): 172-174.

胃食管反流病(GERD)是消化内科常见病种,是指胃内容物反流入食管、口腔(包括喉部)或肺所致的症状和并发症,属上消化道动力障碍疾病。不同食管动力障碍类型患者主要反流机制不全相同,高分辨率食管测压可直观、精确的评估患者食管动力情况,对治疗方案的选择提供依据和指导,帮助临床医生对GERD患者进行个体化、差异化管理。

Gastroesophageal reflux disease(GERD)is one of the most common diseases in the digestion internal medicine department which belongs to the obstructive in digestive power.It refers to a symptom or complication leads by the condition in which the stomach contents leak backwards from the stomach into esophagus and oral cavity(include the throat)or the lung.The main mechanisms of relux are not all the same in patients with different esophageal dynamic disorders.High resolution manometry is an intuitive, accurate assessment of esophageal dynamic conditions, which can provide us evidences for the selection of treatment strategy and help clinicians to manage GERD patients individualy and differently.

[1]
Castell DO, Murray JA, Tutuian R,et al.The pathophysiology of gastro-oesophageal reflux disease-oesophageal manifestations[J].Aliment Pharmacol Ther,2004,20(S9):14-25.
[2]
Kahrilas PJ, Bredenoord AJ, Fox M,et al.The Chicago Classification of esophageal motility disorders,v3.0[J].Neurogastroenterol Moti,2015,27(2):160-174.
[3]
Tolone S, de Cassan C, de Bortoli N, et al.Esophagogastric junction morphology is associated with a positive impedance-pH monitoring in patients with GERD[J].Neurogastroenterol Motil, 2015,27(8):1175-1182.
[4]
Tolone S, De Bortoli N, Marabotto E,et al.Esophagogastric junction contractility for clinical assessment in patients with GERD:a real added value?[J].Neurogastroenterol Motil, 2015,27(10):1423-1431.
[5]
Dent J, Dodds WJ, Friedman RH,et al.Mechanism of gastroesophageal reflux in recumbent asymptomatic human subjects[J].J Clin Invest,1980,65(2):256-267.
[6]
Holloway RH, Boeckxstaens GE, Penagini R,et al.Objective definition and detection of transient lower esophageal relaxation revisited:is there room for improvement?[J].Neurogastroenterol Motil,2012,24(1):54-60.
[7]
Iwakiri K, Hayashi Y, Kotoyori M,et al.Transient lower esophageal sphincter relaxations(TLESRs)are the major mechanism of gastroesophageal reflux but are not the cause of reflux disease[J]. Dig Dis Sci,2005,50:1072-1077.
[8]
Kim HI, Hong SJ, Han JP,et al.Specific movement of esophagus during transient lower esophageal sphincter relaxation in gastroesophageal reflux disease[J].J Neurogastroenterol Motil,2013,19(3):332-337.
[9]
Ribolsi M, Holloway RH, Emerenziani S,et al.Impedance-high resolution manometry analysis of patients with nonerosive reflux disease[J]. Clin Gastroenterol Hepatol, 2014,12(1):52-57.
[10]
Kahrilas PJ, Shi G, Manka M,et al.Increased frequency of transient lower esophageal sphincter relaxation induced by gastric distention in reflux patients with hiatal hernia[J]. Gastroenterology,2000,118(4):688-695.
[11]
王慧,陈帝,张玲,等.胃食管反流病食管酸暴露和食管动力学变化特征[J].胃肠病学和肝病杂志,2014,23(9):1001-1003.
[12]
尚占民,关玉盘,王澈,等.无效食管动力在胃食管反流病中的作用[J].中华内科杂志,2004,43(3):217-218.
[13]
潘红艳,向雪莲,侯晓华,等.远端收缩积分和无效食管动力与胃食管反流的关系[J].中华消化杂志,2015,35(7):451-454.
[14]
Shaker A, Stoikes N, Drapekin J,et al.Multiple rapid swallow responses during esophageal high-resolution manometry reflect esophageal body peristaltic reserve[J].Am J Gastroenterol,2013,108(11):1706-1712.
[15]
Choi YJ, Park MI, Park SJ,et al.Relationship between multiple water swallows and gastroesophageal reflux in patients with normal esophageal motility[J].Dis Esophagus,2015,28(6):520-523.
[16]
Stoikes A, Drapekin J, Kushnir V, et al.The value of multiple rapid swallows during preoperative esophageal manometry before laparoscopic antireflux surgery[J].Surg Endosc,2012,26(12):3401-3407.
[17]
Rohof WO, Bennink RJ, de Jonge H,et al.Increased proximal reflux in a hypersensitive esophagus might explain symptoms resistant to proton pump inhibitors in patients with gastroesophageal reflux disease[J].Clin Gastroenterol Hepatol, 2014,12(10):1647-1655.
[18]
Shi Y, Tan N, Zhang N,et al.Predictors of proton pump inhibitor failure in non-erosive reflux disease:A study with impedance-pH monitoring and high-resolution manometry[J].Neurogastroenterol Motil, 2016,28(5):674-679.
[19]
Shi Y, Tan N, Zhang N, Xiao Y, ect.Predictors of proton pump inhibitor failure in non-erosive reflux disease:A study with impedance-pH monitoring and high-resolution manometry[J].Neurogastroenterol Motil,2016,28(5):674-9.
[20]
Stefanidis G, Viazis N, Kotsikoros N,et al.Long-term benefit of transoral incisionless fundoplication using the esophyx device for the management of gastroesophageal reflux disease responsive to medical therapy[J].Dis Esophagus, 2017,30(3):1-8.
[21]
Ebright MI, Sridhar P, Litle VR,et al.Endoscopic fundoplication:effectiveness for controlling symptoms of gastroesophageal reflux disease[J].Innovations(Phila),2017,12(3):180-185.
[22]
Noar M, Squires P, Noar E, et al.Long-term maintenance effect of radiofrequency energy delivery for refractory GERD:a decade later[J].Surg Endosc,2014,28(8):2323-33.
[23]
Cho YK, Choi MG, Park EY,et al.Effect of mosapride combined with esomeprazole improves esophageal peristaltic function in patients with gastroesophageal reflux disease:a study using high resolution manometry[J].Dig Dis Sci,2013,58(4):1035-41.
[24]
Vakil NB, Huff FJ, Cundy KC.Randomised clinical trial:arbaclofen placarbil in gastro-oesophageal reflux disease--insights into study design for transient lower sphincter relaxation inhibitors[J].Aliment Pharmacol Ther,2013,38(2):107-17.
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