Assis David N, Freedman Steven D
Section of Digestive Diseases, Yale School of Medicine, 333 Cedar Street, 1080 LMP, New Haven, CT 06510, USA.
Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA.
Clin Chest Med. 2016 Mar;37(1):109-18. doi: 10.1016/j.ccm.2015.11.004. Epub 2015 Dec 24.
Gastrointestinal (GI) manifestations commonly complicate the care of patients with cystic fibrosis (CF). Despite recent approval of CF transmembrane conductance regulator modulating agents that can improve pulmonary function, GI disorders continue to be relevant and require innovative therapies. This article discusses the most common GI complications of CF, including reflux, pancreatic insufficiency, small bowel intestinal overgrowth, distal intestinal obstruction syndrome, and GI malignancy, with emphasis on clinical presentation and management.
胃肠道(GI)表现常使囊性纤维化(CF)患者的护理变得复杂。尽管最近批准了可改善肺功能的CF跨膜传导调节因子调节剂,但胃肠道疾病仍然具有相关性且需要创新疗法。本文讨论了CF最常见的胃肠道并发症,包括反流、胰腺功能不全、小肠细菌过度生长、远端肠梗阻综合征和胃肠道恶性肿瘤,重点是临床表现和管理。