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中华胃食管反流病电子杂志 ›› 2018, Vol. 05 ›› Issue (02) : 85 -89. doi: 10.3877/cma.j.issn.1674-6899.2018.02.011

所属专题: 文献

综述

胆汁反流检测方法的研究进展
西尔扎曼·阿不都拉1, 克力木·阿不都热依木2,()   
  1. 1. 830054 乌鲁木齐,新疆医科大学研究生院
    2. 830001 乌鲁木齐,新疆自治区人民医院微创、疝、腹壁疾病外科
  • 收稿日期:2018-02-01 出版日期:2018-05-15
  • 通信作者: 克力木·阿不都热依木

Research progress in the detection of bile reflux

Abudula Xierzhaman·1, Abudureyimu Kelimu·2,()   

  1. 1. Department of Abdominal Surgerey, Minimally Invasive Surgery, People′s Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830001, China
  • Received:2018-02-01 Published:2018-05-15
  • Corresponding author: Abudureyimu Kelimu·
  • About author:
    Corresponding author: Kelimu·Abudureyimu, Email:
引用本文:

西尔扎曼·阿不都拉, 克力木·阿不都热依木. 胆汁反流检测方法的研究进展[J]. 中华胃食管反流病电子杂志, 2018, 05(02): 85-89.

Abudula Xierzhaman·, Abudureyimu Kelimu·. Research progress in the detection of bile reflux[J]. Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition), 2018, 05(02): 85-89.

十二指肠内容物-胆汁,重碳酸盐和胰腺酶-能够返流回胃和食管,被称为十二指肠胃食管反流(DGER)或胆汁反流。众多研究表明,行减重手术、胃癌根治术、胃肠吻合术的患者,在一定程度上存在着胆汁反流的风险。对胆汁反流的诊断暂无金标准,目前检测方式包括肝胆亚氨基二乙酸闪烁扫描,纤维分光光度计胆红素监测仪,胃食管液抽吸检测与胆汁酸分析等,根据检测内容所选检测方式。在单纯地建立DGER的诊断上,肝胆亚氨基二乙酸(HIDA)闪烁扫描是无创性和准确的诊断方法,探讨反流的过程及分布需要Bilitec检测仪一样的具有侵入性和动态监测时间更长的检查,而对于食管粘膜完整性的视觉评估和反流液成分的确定,食管、胃、十二指肠镜检查(EGD)最适合于进行液体抽吸和组织活检。本文就胆汁反流的检测方式的进展进行综述。

Duodenal contents-bile, bicarbonate and pancreatic enzymes-can flow back into the stomach and esophagus is called DGER or bile reflux.Numerous studies have shown that patients with weight loss surgery, radical gastrectomy, and gastrointestinal anastomosis have a risk of bile reflux to some extent.There is no gold standard for the diagnosis of bile reflux. The current detection methods include HIDA scintigraphy, fiber spectrophotometer bilirubin monitor, gastroesophageal fluid aspiration test and bile acid analysis, etc. Select the detection method.In the simple diagnosis of DGER, HIDA scintigraphy is a non-invasive and accurate diagnostic method. The process and distribution of reflux need to be the same as the Bilitec detector, which has a longer invasive and dynamic monitoring time, and for the esophageal mucosa. The visual assessment of integrity and the determination of the composition of the reflux fluid, Esophagogastoduodenos copy(EGD) is best suited for liquid aspiration and tissue biopsy.

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