食管动力障碍：诊断与治疗的当前方法。
Esophageal Motility Disorders: Current Approach to Diagnostics and Therapeutics.
机构信息
Division of Gastroenterology, Hepatology and Nutrition, Vanderbilt University Medical Center and Division of Gastroenterology, Nashville, Tennessee.
University of California San Diego, San Diego, California.
出版信息
Gastroenterology. 2022 May;162(6):1617-1634. doi: 10.1053/j.gastro.2021.12.289. Epub 2022 Feb 25.
Abstract
Dysphagia is a common symptom with significant impact on quality of life. Our diagnostic armamentarium was primarily limited to endoscopy and barium esophagram until the advent of manometric techniques in the 1970s, which provided the first reliable tool for assessment of esophageal motor function. Since that time, significant advances have been made over the last 3 decades in our understanding of various esophageal motility disorders due to improvement in diagnostics with high-resolution esophageal manometry. High-resolution esophageal manometry has improved the sensitivity for detecting achalasia and has also enhanced our understanding of spastic and hypomotility disorders of the esophageal body. In this review, we discuss the current approach to diagnosis and therapeutics of various esophageal motility disorders.
摘要
吞咽困难是一种常见症状，对生活质量有重大影响。直到 20 世纪 70 年代，我们的诊断工具主要限于内镜和食管钡餐造影，直到出现了测压技术，这才为评估食管运动功能提供了第一个可靠的工具。自那时以来，由于高分辨率食管测压技术在诊断方面的改进，过去 30 年来，我们对各种食管动力障碍的理解有了显著的提高。高分辨率食管测压提高了对贲门失弛缓症的检出率，也增强了我们对食管体痉挛性和低动力障碍的理解。在这篇综述中，我们讨论了各种食管动力障碍的诊断和治疗方法。
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