课程回顾：吞咽困难的调查与管理
Curriculum review : investigation and management of dysphagia.
作者信息
Nigam Gaurav B, Vasant Dipesh Harshvadan, Dhar Anjan
机构信息
Translational Gastroenterology Unit, Oxford University Hospitals, Oxford, UK.
National Institute of Health Research, Oxford, UK.
出版信息
Frontline Gastroenterol. 2021 Aug 3;13(3):254-261. doi: 10.1136/flgastro-2021-101917. eCollection 2022.
Abstract
Dysphagia is a common presentation in gastroenterology practice and the diagnosis and management requires a comprehensive knowledge of diverse range of aetiologies, with a systematic approach for assessment of symptoms, selection of investigations and appropriate treatment to relieve symptoms. In this curriculum review, the suggested diagnostic approach highlights the importance of thorough clinical assessment in order to guide the selection of investigations. This article discusses the utility of endoscopic, histopathology, fluoroscopic and motility investigations for dysphagia, and their interpretation, in order to guide targeted treatments ranging from dietary, pharmacological, endoscopic and surgical interventions.
摘要
吞咽困难是胃肠病学实践中的常见表现，其诊断和管理需要全面了解各种病因，采用系统的方法评估症状、选择检查手段并进行适当治疗以缓解症状。在本课程综述中，建议的诊断方法强调了全面临床评估对于指导检查选择的重要性。本文讨论了内镜检查、组织病理学检查、透视检查和动力检查在吞咽困难诊断中的作用及其解读，以指导从饮食、药物、内镜到手术干预等针对性治疗。
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