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 3065, 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):319-336. doi: 10.1016/j.rdc.2023.01.007.
Lower gastrointestinal (GI) symptoms are a frequently encountered problem for clinicians managing patients with systemic sclerosis. The current management practices are focused on the treatment of symptoms with little information available on how to use GI investigations in daily practice. This review demonstrates how to integrate the objective assessment of common lower GI symptoms into clinical care with the aim of guiding clinical decision making. Understanding the type of abnormal GI function that is affecting a patient and determining which parts of the gut are impacted can help clinicians to target therapy more precisely.
下胃肠道 (GI) 症状是临床医生管理系统性硬化症患者时经常遇到的问题。目前的管理实践侧重于症状的治疗，而对于如何在日常实践中使用 GI 检查知之甚少。本综述展示了如何将常见下 GI 症状的客观评估纳入临床护理中，旨在指导临床决策。了解影响患者的异常 GI 功能类型，并确定受影响的肠道部位，可以帮助临床医生更精确地靶向治疗。
