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胃肠道疾病管理中的综合方法:生物心理社会视角

Integrated Approaches in the Management of Gastrointestinal Disorders: A Biopsychosocial Perspective.

作者信息

Chughtai Muhammad Aamir, Kerimkulova Munara K, Mushtaq Omid, Hagenahalli Anand Vibhavari, Rehman Abdur, Shehryar Abdullah, Hassan Baran, Islam Rabia, Islam Hamza, Mansoor Muzafar, Rehman Shehryar

机构信息

Internal Medicine, Punjab Medical College, Faisalabad, PAK.

Internal Medicine, Kyrgyz State Medical Academy, Bishkek, KGZ.

出版信息

Cureus. 2024 May 23;16(5):e60962. doi: 10.7759/cureus.60962. eCollection 2024 May.

DOI:10.7759/cureus.60962
PMID:38910693
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11193854/
Abstract

Gastrointestinal (GI) disorders, including gastroesophageal reflux disease (GERD), inflammatory bowel disease (IBD), gastritis/peptic ulcer disease (PUD), and celiac disease, significantly impact global health and economic stability. This review synthesizes current literature to elucidate the pathophysiology, clinical manifestations, diagnostic challenges, and management strategies of these prevalent conditions. Through a biopsychosocial lens, we examine the role of the gut microbiome in disease modulation and explore innovative therapeutic advancements, including microbiome-targeting interventions. The review highlights the necessity of a multidisciplinary approach to patient care, integrating medical treatment with dietary, psychological, and lifestyle modifications. By addressing these disorders holistically, the article aims to foster a deeper understanding of their biopsychosocial impacts and encourage more effective, patient-centered treatment paradigms. The findings underscore the imperative for continued research and interdisciplinary collaboration to enhance patient outcomes and reduce healthcare burdens associated with GI disorders.

摘要

胃肠道疾病,包括胃食管反流病(GERD)、炎症性肠病(IBD)、胃炎/消化性溃疡病(PUD)和乳糜泻,对全球健康和经济稳定产生重大影响。本综述综合了当前文献,以阐明这些常见疾病的病理生理学、临床表现、诊断挑战和管理策略。通过生物心理社会视角,我们研究了肠道微生物群在疾病调节中的作用,并探索了创新的治疗进展,包括针对微生物群的干预措施。该综述强调了多学科方法在患者护理中的必要性,将药物治疗与饮食、心理和生活方式的改变相结合。通过全面解决这些疾病,本文旨在促进对其生物心理社会影响的更深入理解,并鼓励采用更有效、以患者为中心的治疗模式。研究结果强调了持续研究和跨学科合作的必要性,以改善患者预后并减轻与胃肠道疾病相关的医疗负担。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59ec/11193854/4a22a8a7e473/cureus-0016-00000060962-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59ec/11193854/eb11573b3d88/cureus-0016-00000060962-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59ec/11193854/4a22a8a7e473/cureus-0016-00000060962-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59ec/11193854/eb11573b3d88/cureus-0016-00000060962-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59ec/11193854/4a22a8a7e473/cureus-0016-00000060962-i02.jpg

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本文引用的文献

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Effect of a gluten-free diet on bone mineral density in children and adolescents with celiac disease: Systematic review and meta-analysis.无麸质饮食对乳糜泻儿童和青少年骨密度的影响:系统评价与荟萃分析。
Crit Rev Food Sci Nutr. 2024;64(15):5192-5202. doi: 10.1080/10408398.2022.2153103. Epub 2022 Dec 5.
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Association Between Type 1 Diabetes Mellitus and Celiac Disease: Autoimmune Disorders With a Shared Genetic Background.1型糖尿病与乳糜泻之间的关联:具有共同遗传背景的自身免疫性疾病。
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Ulcerative Colitis-Induced Colorectal Carcinoma: A Deleterious Concatenation.
Exploring the effect of diet programs on the behavior of Sudanese children with autism and the prevalence and association of gastrointestinal symptoms: a multi-center cross-sectional study.
探索饮食方案对苏丹自闭症儿童行为的影响以及胃肠道症状的患病率和相关性:一项多中心横断面研究。
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溃疡性结肠炎诱发的结直肠癌:一种有害的连锁反应。
Cureus. 2022 Feb 26;14(2):e22636. doi: 10.7759/cureus.22636. eCollection 2022 Feb.
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and Autoimmune Diseases: Involving Multiple Systems.以及自身免疫性疾病:涉及多个系统。
Front Immunol. 2022 Feb 10;13:833424. doi: 10.3389/fimmu.2022.833424. eCollection 2022.
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The Gut-Brain Axis in Inflammatory Bowel Disease-Current and Future Perspectives.肠道-大脑轴在炎症性肠病中的作用:现状和未来展望。
Int J Mol Sci. 2021 Aug 18;22(16):8870. doi: 10.3390/ijms22168870.
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Biochemical Biomarkers of Mucosal Healing for Inflammatory Bowel Disease in Adults.成人炎症性肠病黏膜愈合的生化生物标志物
Diagnostics (Basel). 2020 Jun 2;10(6):367. doi: 10.3390/diagnostics10060367.
7
Mechanisms of Disease: Inflammatory Bowel Diseases.发病机制:炎症性肠病。
Mayo Clin Proc. 2019 Jan;94(1):155-165. doi: 10.1016/j.mayocp.2018.09.013.
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Burden and Cost of Gastrointestinal, Liver, and Pancreatic Diseases in the United States: Update 2018.美国胃肠道、肝脏和胰腺疾病的负担和成本:2018 年更新。
Gastroenterology. 2019 Jan;156(1):254-272.e11. doi: 10.1053/j.gastro.2018.08.063. Epub 2018 Oct 10.
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ACG Clinical Guideline: Management of Crohn's Disease in Adults.ACG 临床指南:成人克罗恩病的管理。
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