切换至 "中华医学电子期刊资源库"

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

所属专题: 专题评论 文献

综述

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/OL]. 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/OL]. 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.
[1] 白浪, 张雪玉, 白铁成, 贺爱军. 腹腔镜近端胃切除术中圆锥形重叠吻合成形术对Siewert Ⅱ型AEG患者胃食管反流、营养状态的影响研究[J/OL]. 中华普外科手术学杂志(电子版), 2024, 18(06): 679-682.
[2] 李海云, 赵敏娴, 申英末, 杨慧琪. 胃底折叠术预防食管裂孔疝术后并发症的研究进展[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(05): 485-490.
[3] 王浩, 艾克拜尔·艾力, 麦麦提艾力·麦麦提明, 李义亮, 克力木·阿不都热依木. 不同检查方法对巨大食管裂孔疝合并胃食管反流病的诊断价值及各检查指标间的相关性分析[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(05): 494-500.
[4] 玉素江·图荪托合提, 韩琦, 麦麦提艾力·麦麦提明, 黄旭东, 王浩, 克力木·阿不都热依木, 艾克拜尔·艾力. 腹腔镜袖状胃切除或联合食管裂孔疝修补术对肥胖症合并胃食管反流病的中期疗效分析[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(05): 501-506.
[5] 任传富, 杨志, 徐恩, 何梓芸, 罗板鑫, 陈新, 夏雪峰. 腹腔镜疝修补术联合胃底折叠术治疗食管裂孔疝合并胃食管反流病40 例临床分析[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(05): 507-511.
[6] 杜晨阳, 王勇, 段鑫, 柯文杰, 石念, 武英翔, 罗文. 腹腔镜下食管裂孔疝修补术后吞咽困难的危险因素分析[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(05): 523-527.
[7] 胡志伟, 吴继敏, 汪忠镐, 张美光. 胃食管反流病食管外症状抗反流手术适应证及术前评估[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(03): 241-246.
[8] 胡志伟, 吴继敏, 邓昌荣, 战秀岚, 纪涛, 王峰, 田书瑞, 陈冬, 张玉, 刘健男, 宋庆. 抗反流黏膜套扎治疗顽固性胃食管反流病[J/OL]. 中华腔镜外科杂志(电子版), 2024, 17(04): 227-233.
[9] 唐小久, 胡曼, 许必君, 肖亚. 肥胖合并胃食管反流病患者严重程度与其焦虑抑郁及营养状态的相关性研究[J/OL]. 中华消化病与影像杂志(电子版), 2024, 14(04): 360-364.
[10] 王立辉, 杜海涛, 万军, 陈倩倩. 动态反流监测在食管-咽喉反流性疾病诊断中的临床应用[J/OL]. 中华胃肠内镜电子杂志, 2024, 11(04): 268-272.
[11] 张静, 白亦冰, 来要良, 刘永, 和媛媛, 苏敏. 不同体位对胃食管反流病患者食管高分辨率测压的影响[J/OL]. 中华胃食管反流病电子杂志, 2024, 11(03): 115-120.
[12] 张靖, 柏君, 陈玉盟, 张鹏, 侯芳芳, 王军芳, 孙静, 赵士博, 杨喆, 张玥, 张瑞芳, 朱宏斌. 抗反流黏膜消融术治疗胃食管反流病患者的临床疗效[J/OL]. 中华胃食管反流病电子杂志, 2024, 11(03): 121-125.
[13] 华丽, 仲卫冬, 胡根, 张丽英, 邵国益. 手术治疗胃食管反流病对患者生活质量和心理状态影响的研究[J/OL]. 中华胃食管反流病电子杂志, 2024, 11(03): 126-129.
[14] 文明, 张丽, 谢芳, 艾克拜尔·艾力, 克力木·阿不都热依木. 构建胃食管反流病患者发生心房颤动的临床预测模型[J/OL]. 中华胃食管反流病电子杂志, 2024, 11(03): 130-136.
[15] 高训锋, 许晓露, 张金辉, 蔡理全, 张恒, 邰沁文. 胃食管反流病与肝胆胰系统疾病的因果关系:一项孟德尔随机化研究[J/OL]. 中华胃食管反流病电子杂志, 2024, 11(03): 143-152.
阅读次数
全文


摘要


AI


AI小编
你好!我是《中华医学电子期刊资源库》AI小编,有什么可以帮您的吗?