Department of Health Sciences, St John's University, New York, United States.
Department of Internal Medicine, University of Toledo, OH, United States.
J Clin Neurosci. 2020 Sep;79:237-240. doi: 10.1016/j.jocn.2020.07.019. Epub 2020 Aug 11.
Traumatic brain injuries (TBI) and its sequelae are becoming one of the most pressing public health concerns worldwide. It is one of the leading causes of increased morbidity and mortality. The primary insult to the brain can cause ischemic brain injury, paralysis, concussions, death, and other serious complications. Brain injury also involves other systems through a secondary pathway resulting in multiple complications during and after hospitalization. The focus of our article is to assess the literature available on traumatic brain injury and intestinal dysfunctional to highlight the aspects of epidemiology, pathophysiology, and different diagnostic approaches for early diagnosis of gut dysfunction. We review studies done in both humans and animals, to better understand this underrated topic, as it costs billions of dollars to the healthcare industry because of delayed diagnosis.
创伤性脑损伤(TBI)及其后遗症正成为全球最紧迫的公共卫生问题之一。它是发病率和死亡率上升的主要原因之一。大脑的原发性损伤会导致脑缺血、瘫痪、脑震荡、死亡和其他严重并发症。脑损伤还会通过继发性途径涉及其他系统,导致住院期间和之后出现多种并发症。我们文章的重点是评估创伤性脑损伤和肠道功能障碍方面的现有文献,以强调流行病学、病理生理学和不同诊断方法在早期诊断肠道功能障碍方面的作用。我们综述了在人类和动物中进行的研究,以更好地理解这个被低估的课题,因为由于诊断延误,它给医疗保健行业造成了数十亿美元的损失。