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双糖酶缺乏在功能性腹痛障碍中的作用——一篇叙述性综述。

The Role of Disaccharidase Deficiencies in Functional Abdominal Pain Disorders-A Narrative Review.

机构信息

Department of Pediatrics, Holtz Children's Hospital, University of Miami Miller School of Medicine/Jackson Memorial Medical Center, 1611 NW 12th Ave, Miami, FL 33136, USA.

Department of Pediatric Gastroenterology, Hepatology and Nutrition, University of Miami Miller School of Medicine, 1601 NW 12th Ave, Miami, FL 33137, USA.

出版信息

Nutrients. 2018 Nov 29;10(12):1835. doi: 10.3390/nu10121835.

DOI:10.3390/nu10121835
PMID:30501067
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6315563/
Abstract

Disaccharidase deficiencies are reportedly underdiagnosed in pediatric populations. Though typically thought to cause diarrheal disease, they can also be a cause of abdominal pain and dyspepsia, and patients diagnosed with these functional disorders may actually have associated enzyme deficiencies. While the effects of lactose deficiency have been widely studied, sucrase, maltase, and isomaltase are less frequently considered when approaching a patient with an apparent functional abdominal pain disorder. This review seeks to provide an up-to-date narrative on the current scientific literature on the possible role of sucrase, maltase, and isomaltase deficiency in pediatric functional gastrointestinal disorders.

摘要

据报道,小儿人群中的双糖酶缺乏症诊断不足。尽管这些酶通常被认为会导致腹泻病,但它们也可能是腹痛和消化不良的原因,而被诊断为这些功能性疾病的患者实际上可能存在相关的酶缺乏。虽然乳糖缺乏的影响已被广泛研究,但在治疗表现出明显功能性腹痛障碍的患者时,蔗糖酶、麦芽糖酶和异麦芽糖酶往往较少被考虑。本综述旨在提供关于蔗糖酶、麦芽糖酶和异麦芽糖酶缺乏在小儿功能性胃肠疾病中的可能作用的最新科学文献综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a076/6315563/a7777af2c3c6/nutrients-10-01835-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a076/6315563/a7777af2c3c6/nutrients-10-01835-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a076/6315563/a7777af2c3c6/nutrients-10-01835-g001.jpg

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本文引用的文献

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Reference Intervals for Intestinal Disaccharidase Activities Determined from a Non-Reference Population.由非参考人群确定的肠道双糖酶活性参考区间。
J Appl Lab Med. 2016 Sep 1;1(2):172-180. doi: 10.1373/jalm.2016.020388.
2
13C-Labeled-Starch Breath Test in Congenital Sucrase-isomaltase Deficiency.先天性蔗糖酶-异麦芽糖酶缺乏症的13C标记淀粉呼气试验
J Pediatr Gastroenterol Nutr. 2018 Jun;66 Suppl 3(Suppl 3):S61-S64. doi: 10.1097/MPG.0000000000001858.
3
Clinical Characteristics of Disaccharidase Deficiencies Among Children Undergoing Upper Endoscopy.
美国神经胃肠病学和动力学会在 COVID-19 大流行期间恢复动力实验室操作的建议。
Am J Gastroenterol. 2020 Oct;115(10):1575-1583. doi: 10.14309/ajg.0000000000000823.
4
Routine disaccharidase testing: are we there yet?常规二糖酶检测:我们做到了吗?
Curr Opin Gastroenterol. 2020 Mar;36(2):101-109. doi: 10.1097/MOG.0000000000000614.
5
Carbohydrate Intolerance and Disaccharidase Measurement - a Mini-Review.碳水化合物不耐受与双糖酶检测——一篇综述短文
Clin Biochem Rev. 2019 Nov;40(4):167-174. doi: 10.33176/AACB-19-00025.
接受上消化道内镜检查的儿童双糖酶缺乏症的临床特征
J Pediatr Gastroenterol Nutr. 2018 Jun;66 Suppl 3:S56-S60. doi: 10.1097/MPG.0000000000001961.
4
Demographic and Clinical Correlates of Mucosal Disaccharidase Deficiencies in Children With Functional Dyspepsia.功能性消化不良患儿黏膜双糖酶缺乏症的人口统计学和临床相关性
J Pediatr Gastroenterol Nutr. 2018 Jun;66 Suppl 3(Suppl 3):S52-S55. doi: 10.1097/MPG.0000000000001859.
5
Metabolic Impacts of Maltase Deficiencies.麦芽糖酶缺乏症的代谢影响。
J Pediatr Gastroenterol Nutr. 2018 Jun;66 Suppl 3:S24-S29. doi: 10.1097/MPG.0000000000001955.
6
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Disaccharidase activity in children undergoing esophagogastroduodenoscopy: A systematic review.接受食管胃十二指肠镜检查的儿童的双糖酶活性:一项系统评价。
World J Gastrointest Pharmacol Ther. 2016 May 6;7(2):283-93. doi: 10.4292/wjgpt.v7.i2.283.