Svoboda P, Ehrmann J, Klvana P, Machytka E, Rydlo M, Hrabovský V
Interní klinika FN Ostrava.
Vnitr Lek. 2007 Sep;53(9):968-71.
151 patients suffering from the cirrhosis of the liver underwent a prospective endoscopic examination of the upper digestive tract. The most frequent diagnoses in the group with the cirrhosis of the liver included oesophagus varices (64.9%), portal hypertension gastropathy (45.7%) and the peptic ulcer of the gastroduodenum (25.8%). A normal diagnosis in the endoscopy of the upper digestive tract was found only in 8.6%. Other diagnoses comprised reflux oesophagitis (13.2%), diaphragm hiatus hernia (12.6 %), duodenogastric reflux (8.6 %), gastric antrum erosion (4.6 %), aphthic gastropathy (3.3 %), rhagades of the cardium (2%), gastric polyp (1.3%), mycotic oesophagitis, gastric carcinoma, oesophagus carcinoma and oesophagus achalasy (0.7% each). Further on the study discusses possible causes of the high incidence of peptic ulcers in the patients with the cirrhosis of the liver. All findings are correlated with literary data.
151例肝硬化患者接受了上消化道前瞻性内镜检查。肝硬化组最常见的诊断包括食管静脉曲张(64.9%)、门静脉高压性胃病(45.7%)和胃十二指肠消化性溃疡(25.8%)。上消化道内镜检查正常诊断仅占8.6%。其他诊断包括反流性食管炎(13.2%)、膈疝(12.6%)、十二指肠胃反流(8.6%)、胃窦糜烂(4.6%)、口疮性胃病(3.3%)、贲门皲裂(2%)、胃息肉(1.3%)、霉菌性食管炎、胃癌、食管癌和食管贲门失弛缓症(各占0.7%)。此外,该研究还讨论了肝硬化患者消化性溃疡高发的可能原因。所有研究结果均与文献数据相关。