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社论:扩大功能性管腔成像探头在嗜酸性食管炎儿童中的应用:食管狭窄并非仅是成人问题。

Editorial: Widening the Use of the Functional Lumen Imaging Probe to Kids With Eosinophilic Esophagitis: Esophageal Narrowing is not Just an Adult Problem.

作者信息

Carlson Dustin A

机构信息

Division of Gastroenterology and Hepatology, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.

出版信息

Am J Gastroenterol. 2017 Sep;112(9):1474-1476. doi: 10.1038/ajg.2017.237.

DOI:10.1038/ajg.2017.237
PMID:28874863
Abstract

The functional lumen imaging probe (FLIP) provides objective measurement of esophageal distensibility, thus offering a unique and potentially valuable assessment in eosinophilic esophagitis (EoE). Menard-Katcher and colleagues report the first study evaluating use of FLIP in pediatric patients that demonstrated a reduction in esophageal distensibility in patients with EoE compared to patients without EoE. An increase in esophageal distensibility was observed with age among pediatric patients without EoE, but not among those with EoE. While this study further supports the promise of esophageal distensibility assessment in EoE, future work remains needed to optimize FLIP utilization in both research and clinical settings.

摘要

功能性管腔成像探头(FLIP)可对食管扩张性进行客观测量,从而为嗜酸性粒细胞性食管炎(EoE)提供独特且可能有价值的评估。梅纳德 - 卡彻及其同事报告了第一项评估FLIP在儿科患者中应用的研究,该研究表明,与非EoE患者相比,EoE患者的食管扩张性降低。在无EoE的儿科患者中,食管扩张性随年龄增加,而在EoE患者中则不然。虽然这项研究进一步支持了食管扩张性评估在EoE中的前景,但仍需要未来的工作来优化FLIP在研究和临床环境中的应用。

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Editorial: Widening the Use of the Functional Lumen Imaging Probe to Kids With Eosinophilic Esophagitis: Esophageal Narrowing is not Just an Adult Problem.社论:扩大功能性管腔成像探头在嗜酸性食管炎儿童中的应用:食管狭窄并非仅是成人问题。
Am J Gastroenterol. 2017 Sep;112(9):1474-1476. doi: 10.1038/ajg.2017.237.
2
Influence of Age and Eosinophilic Esophagitis on Esophageal Distensibility in a Pediatric Cohort.年龄和嗜酸性食管炎对儿科队列食管扩张性的影响。
Am J Gastroenterol. 2017 Sep;112(9):1466-1473. doi: 10.1038/ajg.2017.131. Epub 2017 May 16.
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Severity of endoscopically identified esophageal rings correlates with reduced esophageal distensibility in eosinophilic esophagitis.内镜检查发现的食管环的严重程度与嗜酸性食管炎中食管扩张性降低相关。
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本文引用的文献

1
Influence of Age and Eosinophilic Esophagitis on Esophageal Distensibility in a Pediatric Cohort.年龄和嗜酸性食管炎对儿科队列食管扩张性的影响。
Am J Gastroenterol. 2017 Sep;112(9):1466-1473. doi: 10.1038/ajg.2017.131. Epub 2017 May 16.
2
White Paper AGA: Drug Development for Eosinophilic Esophagitis.美国胃肠病学会白皮书:嗜酸性食管炎的药物研发
Clin Gastroenterol Hepatol. 2017 Aug;15(8):1173-1183. doi: 10.1016/j.cgh.2017.03.016. Epub 2017 Mar 22.
3
Evaluation of esophageal distensibility in eosinophilic esophagitis: an update and comparison of functional lumen imaging probe analytic methods.
嗜酸性食管炎中食管扩张性的评估:功能管腔成像探头分析方法的更新与比较
Neurogastroenterol Motil. 2016 Dec;28(12):1844-1853. doi: 10.1111/nmo.12888. Epub 2016 Jun 16.
4
Severity of endoscopically identified esophageal rings correlates with reduced esophageal distensibility in eosinophilic esophagitis.内镜检查发现的食管环的严重程度与嗜酸性食管炎中食管扩张性降低相关。
Endoscopy. 2016 Sep;48(9):794-801. doi: 10.1055/s-0042-107340. Epub 2016 May 20.
5
Functional lumen imaging probe: The FLIP side of esophageal disease.功能性管腔成像探头:食管疾病的另一面
Curr Opin Gastroenterol. 2016 Jul;32(4):310-8. doi: 10.1097/MOG.0000000000000272.
6
Oesophageal narrowing is common and frequently under-appreciated at endoscopy in patients with oesophageal eosinophilia.食管狭窄很常见,在食管嗜酸性粒细胞增多症患者的内镜检查中常常未得到充分认识。
Aliment Pharmacol Ther. 2014 Dec;40(11-12):1333-40. doi: 10.1111/apt.12977. Epub 2014 Oct 7.
7
Clinical implications and pathogenesis of esophageal remodeling in eosinophilic esophagitis.嗜酸性食管炎中食管重塑的临床意义及发病机制
Gastroenterol Clin North Am. 2014 Jun;43(2):297-316. doi: 10.1016/j.gtc.2014.02.015. Epub 2014 Apr 16.
8
A phenotypic analysis shows that eosinophilic esophagitis is a progressive fibrostenotic disease.一项表型分析表明,嗜酸性粒细胞性食管炎是一种进行性纤维狭窄性疾病。
Gastrointest Endosc. 2014 Apr;79(4):577-85.e4. doi: 10.1016/j.gie.2013.10.027. Epub 2013 Nov 23.
9
Delay in diagnosis of eosinophilic esophagitis increases risk for stricture formation in a time-dependent manner.嗜酸粒细胞性食管炎的诊断延迟会使狭窄形成的风险呈时间依赖性增加。
Gastroenterology. 2013 Dec;145(6):1230-6.e1-2. doi: 10.1053/j.gastro.2013.08.015. Epub 2013 Aug 13.
10
Esophageal distensibility as a measure of disease severity in patients with eosinophilic esophagitis.食管扩张度作为评估嗜酸性粒细胞性食管炎患者疾病严重程度的指标。
Clin Gastroenterol Hepatol. 2013 Sep;11(9):1101-1107.e1. doi: 10.1016/j.cgh.2013.03.020. Epub 2013 Apr 13.