乳糜泻的食管表现。

Esophageal manifestations of celiac disease.

机构信息

Department of Gastroenterology, Hospital General de Tomelloso, Tomelloso, Ciudad Real, Spain.

出版信息

Dis Esophagus. 2011 Sep;24(7):470-5. doi: 10.1111/j.1442-2050.2011.01190.x. Epub 2011 Mar 25.

Abstract

Celiac disease (CD) may often be associated with various motor disorders affecting the different segments of the digestive tract, including the esophagus. Although it has not been universally reported, some available evidences indicate that pediatric and adult celiac patients could manifest a higher frequency of esophagitis and gastroesophageal reflux disease-related symptoms compared to nonceliac patients. In addition, several published studies have consistently shown the efficacy of a gluten-free diet in rapidly controlling esophageal symptoms and in preventing their recurrence. Since the participation of gluten in the esophageal symptoms of CD seems clear, its intimate mechanisms have yet to be elucidated, and several hypothesis have been proposed, including the specific immune alterations characterizing CD, the reduction in nutrient absorption determining the arrival of intact gluten to distal gastrointestinal segments, and various dysregulations in the function of gastrointestinal hormones and peptides. Recent studies have suggested the existence of a possible relationship between CD and eosinophilic esophagitis, which should be more deeply investigated.

摘要

乳糜泻(CD)可能常与影响消化道不同部位的各种运动障碍相关,包括食管。尽管并非普遍报道,但一些现有证据表明,与非乳糜泻患者相比,儿科和成年乳糜泻患者可能表现出更高的食管炎和胃食管反流病相关症状的频率。此外,几项已发表的研究一致表明,无麸质饮食可迅速控制食管症状并预防其复发。由于谷蛋白似乎参与了 CD 的食管症状,其内在机制仍有待阐明,并且提出了几种假设,包括特征为 CD 的特异性免疫改变、确定完整谷蛋白到达远端胃肠道段的营养吸收减少,以及胃肠激素和肽的功能各种失调。最近的研究表明 CD 与嗜酸性食管炎之间可能存在关联,这一点应更深入地研究。

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