Department of Rheumatology, St Vincent's Hospital, 41 Victoria Parade, Fitzroy, Victoria 3065, Australia; Department of Medicine, The University of Melbourne at St Vincent's Hospital, 41 Victoria Parade, Fitzroy, Victoria, Australia.
Division of Rheumatology, Johns Hopkins University, 5200 Eastern Avenue, Suite 5200, Mason F. Lord Building, Center Tower, Baltimore, MD, 21224, USA.
Rheum Dis Clin North Am. 2023 May;49(2):295-318. doi: 10.1016/j.rdc.2023.01.006. Epub 2023 Feb 28.
The upper gastrointestinal (GI) tract is frequently involved in systemic sclerosis (SSc) and may impact quality of life, physical function and survival. Although we are currently very proactive in terms of screening for heart and lung involvement, patients with SSc are not routinely screened for GI involvement. This review details the available investigations for common upper GI symptoms in SSc, including dysphagia, reflux and bloating and provides advice as to how to integrate these investigations into current clinical care.
上消化道（GI）在系统性硬化症（SSc）中经常受到累及，并可能影响生活质量、身体功能和生存。尽管我们目前在筛查心脏和肺部受累方面非常积极，但并未常规筛查 SSc 患者的 GI 受累情况。本综述详细介绍了 SSc 常见上 GI 症状（包括吞咽困难、反流和腹胀）的可用检查方法，并就如何将这些检查纳入当前临床护理提供了建议。
