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非糖尿病患者的胃轻瘫:相关病症及潜在风险因素

Gastroparesis in Non-Diabetics: Associated Conditions and Possible Risk Factors.

作者信息

Nassar Yousef, Richter Seth

机构信息

Department of Medicine, Albany Medical Center, Albany, NY, USA.

Division of Gastroenterology, Albany Medical Center, Albany, NY, USA.

出版信息

Gastroenterology Res. 2018 Oct;11(5):340-345. doi: 10.14740/gr1060w. Epub 2018 Oct 1.

Abstract

BACKGROUND

Gastroparesis is a syndrome characterized by delayed gastric emptying in the absence of any mechanical cause. While often associated with diabetes mellitus, most cases of gastroparesis are idiopathic. The purpose of the present paper is to review the co-morbid conditions that most likely associate with non-diabetic gastroparesis.

METHODS

The Healthcare Cost and Utilization Project: Nationwide Inpatient Sample (HCUP-NIS) data were used from the year 2013 - 2014 and the Apriori algorithm was run on this subset of patients to identify what co-morbid conditions are most likely associated with gastroparesis.

RESULTS

Notable conditions that were found to be most closely linked with gastroparesis were: chronic pancreatitis, end stage renal disease, irritable bowel syndrome, systemic lupus erythematosus, fibromyalgia, and venous thromboembolism. Some of the implications of these findings are briefly discussed.

CONCLUSIONS

Gastroparesis is strongly associated with multiple medical conditions which may be potential targets for treatment.

摘要

背景

胃轻瘫是一种以无任何机械性原因导致胃排空延迟为特征的综合征。虽然胃轻瘫常与糖尿病相关,但大多数胃轻瘫病例是特发性的。本文旨在综述最有可能与非糖尿病性胃轻瘫相关的共病情况。

方法

使用了2013 - 2014年医疗保健成本与利用项目:全国住院患者样本(HCUP-NIS)数据,并对该患者子集运行Apriori算法,以确定哪些共病情况最有可能与胃轻瘫相关。

结果

发现与胃轻瘫联系最紧密的显著情况有:慢性胰腺炎、终末期肾病、肠易激综合征、系统性红斑狼疮、纤维肌痛和静脉血栓栓塞。简要讨论了这些发现的一些影响。

结论

胃轻瘫与多种疾病密切相关,这些疾病可能是潜在的治疗靶点。

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