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胃食管反流病与哮喘:一篇叙述性综述

Gastroesophageal Reflux Disease and Asthma: A Narrative Review.

作者信息

Grandes Xavier A, Talanki Manjunatha Ramya, Habib Salma, Sangaraju Sai Lahari, Yepez Daniela

机构信息

Research, Universidad Catolica Santiago de Guayaquil, Guayaquil, ECU.

Internal Medicine, Kempegowda Institute of Medical Sciences, Bangalore, IND.

出版信息

Cureus. 2022 May 11;14(5):e24917. doi: 10.7759/cureus.24917. eCollection 2022 May.

DOI:10.7759/cureus.24917
PMID:35706753
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9187188/
Abstract

Gastroesophageal reflux disease (GERD) is defined by retrograde reflux of gastric contents to the esophagus leading to various signs and symptoms that range from heartburn/regurgitation to the development of extraesophageal respiratory syndromes like asthma. Although a cause-effect relationship has been proposed, evidence suggests that these two entities share a complex mechanism that may be reciprocal to each other. The understanding of the underlying mechanisms is imperial due to the fact that asthmatic patients may benefit from reflux therapy with subsequent improvement in pulmonary function testing and quality of life. This study has revised available literature in order to provide evidence for a nexus between GERD and asthma based on clinical correlation, pathophysiology, and pharmacologic management.

摘要

胃食管反流病(GERD)的定义是胃内容物逆行反流至食管,导致从烧心/反流到哮喘等食管外呼吸综合征等各种体征和症状。尽管有人提出了因果关系,但证据表明,这两种疾病具有复杂的机制,可能相互影响。由于哮喘患者可能从反流治疗中受益,从而改善肺功能测试结果和生活质量,因此了解潜在机制至关重要。本研究回顾了现有文献,以便基于临床相关性、病理生理学和药物治疗,为GERD与哮喘之间的联系提供证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c936/9187188/4370c0f4c288/cureus-0014-00000024917-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c936/9187188/4370c0f4c288/cureus-0014-00000024917-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c936/9187188/4370c0f4c288/cureus-0014-00000024917-i01.jpg

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本文引用的文献

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Extra-Esophageal Presentation of Gastroesophageal Reflux Disease: 2020 Update.胃食管反流病的食管外表现:2020年更新
J Clin Med. 2020 Aug 7;9(8):2559. doi: 10.3390/jcm9082559.
2
Natural history, pathophysiology and evaluation of gastroesophageal reflux disease.胃食管反流病的自然史、病理生理学和评估。
Dis Mon. 2020 Jan;66(1):100848. doi: 10.1016/j.disamonth.2019.02.001. Epub 2019 Feb 22.
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Benchmarking of a Simple Scintigraphic Test for Gastro-oesophageal Reflux Disease That Assesses Oesophageal Disease and Its Pulmonary Complications.
哮喘治疗动态建模:g公式的见解
Clin Epidemiol. 2025 Mar 13;17:265-276. doi: 10.2147/CLEP.S486869. eCollection 2025.
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Factors influencing the quality of life of GERD patients in the Aseer Region, Saudi Arabia.沙特阿拉伯阿西尔地区影响胃食管反流病患者生活质量的因素。
J Family Med Prim Care. 2023 Dec;12(12):3217-3221. doi: 10.4103/jfmpc.jfmpc_620_23. Epub 2023 Dec 21.
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Functional Food in Relation to Gastroesophageal Reflux Disease (GERD).功能性食品与胃食管反流病(GERD)的关系。
Nutrients. 2023 Aug 15;15(16):3583. doi: 10.3390/nu15163583.
一种评估食管疾病及其肺部并发症的胃食管反流病简易闪烁扫描试验的基准测试
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Ambulatory reflux monitoring for diagnosis of gastro-esophageal reflux disease: Update of the Porto consensus and recommendations from an international consensus group.门诊反流监测在胃食管反流病诊断中的应用:波尔图共识更新及国际共识专家组建议。
Neurogastroenterol Motil. 2017 Oct;29(10):1-15. doi: 10.1111/nmo.13067. Epub 2017 Mar 31.
6
Global prevalence of, and risk factors for, gastro-oesophageal reflux symptoms: a meta-analysis.全球胃食管反流症状的患病率及危险因素:一项荟萃分析。
Gut. 2018 Mar;67(3):430-440. doi: 10.1136/gutjnl-2016-313589. Epub 2017 Feb 23.
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Chronic Cough Due to Gastroesophageal Reflux in Adults: CHEST Guideline and Expert Panel Report.成人胃食管反流所致慢性咳嗽:CHEST指南与专家小组报告
Chest. 2016 Dec;150(6):1341-1360. doi: 10.1016/j.chest.2016.08.1458. Epub 2016 Sep 7.
8
Extra-esophageal gastroesophageal reflux disease and asthma: understanding this interplay.食管外胃食管反流病与哮喘:理解这种相互作用。
Expert Rev Gastroenterol Hepatol. 2015 Jul;9(7):969-82. doi: 10.1586/17474124.2015.1042861. Epub 2015 Jun 11.
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Real-world effect of gastroesophageal reflux disease on cough-related quality of life and disease status in asthma and COPD.胃食管反流病对哮喘和慢性阻塞性肺疾病患者咳嗽相关生活质量及疾病状态的真实世界影响。
Allergol Int. 2015 Jan;64(1):79-83. doi: 10.1016/j.alit.2014.08.001. Epub 2014 Oct 22.
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Airway hyperresponsiveness induced by repeated esophageal infusion of HCl in guinea pigs.盐酸重复食管灌注诱导豚鼠气道高反应性。
Am J Respir Cell Mol Biol. 2014 Nov;51(5):701-8. doi: 10.1165/rcmb.2013-0484OC.