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胃轻瘫和倾倒综合征:当前概念与管理

Gastroparesis and Dumping Syndrome: Current Concepts and Management.

作者信息

Vavricka Stephan R, Greuter Thomas

机构信息

Center of Gastroenterology and Hepatology, CH-8048 Zurich, Switzerland.

Department of Gastroenterology and Hepatology, University Hospital Zurich, CH-8091 Zurich, Switzerland.

出版信息

J Clin Med. 2019 Jul 29;8(8):1127. doi: 10.3390/jcm8081127.

DOI:10.3390/jcm8081127
PMID:31362413
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6723467/
Abstract

Gastroparesis and dumping syndrome both evolve from a disturbed gastric emptying mechanism. Although gastroparesis results from delayed gastric emptying and dumping syndrome from accelerated emptying of the stomach, the two entities share several similarities among which are an underestimated prevalence, considerable impairment of quality of life, the need for a multidisciplinary team setting, and a step-up treatment approach. In the following review, we will present an overview of the most important clinical aspects of gastroparesis and dumping syndrome including epidemiology, pathophysiology, presentation, and diagnostics. Finally, we highlight promising therapeutic options that might be available in the future.

摘要

胃轻瘫和倾倒综合征均源于胃排空机制紊乱。尽管胃轻瘫是由胃排空延迟引起的,而倾倒综合征是由胃排空加速导致的,但这两种病症有若干相似之处,包括患病率被低估、生活质量受到严重损害、需要多学科团队协作以及采用逐步升级的治疗方法。在以下综述中,我们将概述胃轻瘫和倾倒综合征最重要的临床方面,包括流行病学、病理生理学、临床表现和诊断。最后,我们强调未来可能会有的前景广阔的治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3f6/6723467/ab3b9b0f3eb0/jcm-08-01127-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3f6/6723467/74953bc65ac0/jcm-08-01127-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3f6/6723467/ab3b9b0f3eb0/jcm-08-01127-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3f6/6723467/74953bc65ac0/jcm-08-01127-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3f6/6723467/ab3b9b0f3eb0/jcm-08-01127-g002.jpg

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Aprepitant Has Mixed Effects on Nausea and Reduces Other Symptoms in Patients With Gastroparesis and Related Disorders.阿瑞匹坦对胃轻瘫及相关疾病患者的恶心有混合作用,并能减轻其他症状。
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Late dumping syndrome preceded by Coxsackievirus B4 infection and cholecystectomy.以柯萨奇病毒B4感染和胆囊切除术后为先兆的晚期倾倒综合征。
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