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[食管疾病:胃食管反流病、巴雷特食管和嗜酸性粒细胞性食管炎]

[Esophageal diseases: gastroesophageal reflux disease, Barrett's esophagus and eosinophilic esophagitis].

作者信息

Calvet Xavier

机构信息

Unitat de Malalties Digestives, Hospital de Sabadell, Institut Universitari Parc Taulí, Departament de Medicina, Universitat Autònoma de Barcelona, Barcelona, España.

出版信息

Gastroenterol Hepatol. 2011 Oct;34 Suppl 2:27-35. doi: 10.1016/S0210-5705(11)70018-8.

Abstract

Interesting advances are always reported in Digestive Disease Week. This year's studies on gastroesophageal reflux disease (GERD) stressed the role of weight gain and psychological factors in both symptom production and lack of treatment response. In Barrett's esophagus, radiofrequency ablation has become the treatment of choice in cases associated with dysplasia or neoplasms in situ. Finally, notable studies of eosinophilic esophagitis highlighted the difficulty of distinguishing between this entity and GERD. Topical steroids and exclusion diets are effective therapeutic alternatives.

摘要

《消化疾病周》总能报道一些有趣的进展。今年关于胃食管反流病(GERD)的研究强调了体重增加和心理因素在症状产生以及治疗反应不佳方面所起的作用。在巴雷特食管中,射频消融已成为与发育异常或原位肿瘤相关病例的首选治疗方法。最后,嗜酸性粒细胞性食管炎的显著研究突出了区分这种疾病与GERD的困难。局部使用类固醇和排除特定饮食是有效的治疗选择。

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