Lin Yongshuang, Hou Chengshan, Wang Cheng, Chen Rui, Zhu Yunzhong, Zhou Qing, Shao Binbin, Huang Yi, Li Shun
The First Affiliated Hospital, Guangxi University of Traditional Chinese Medicine, Nanning, China.
Trauma Center, The Second Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Front Immunol. 2024 Dec 20;15:1524495. doi: 10.3389/fimmu.2024.1524495. eCollection 2024.
Traumatic brain injury (TBI) is a prevalent disease that poses a significant threat to global public health. Digestive dysfunction, as a common complication, is of particular importance to understand its pathogenesis, diagnostic criteria, and relevant treatment strategies. TBI can affect digestive function through inflammatory immune responses, the enteric nervous system, and hormonal levels. Furthermore, TBI can also impact neurologic recovery through bidirectional communication along the brain-gut axis. Therefore, this article aims to summarize the underlying mechanisms and further explore individualized feeding strategies, therapeutic approaches, long-term prognosis for TBI patients, as well as recent advancements in related technologies. Further understanding of the pathogenesis of digestive system dysfunction after TBI on the basis of the interaction of gut-brain axis is conducive to more future therapies to treat TBI and improve the long-term prognosis of patients through improving digestive function, and achieve good clinical efficacy.
创伤性脑损伤(TBI)是一种对全球公共卫生构成重大威胁的常见疾病。消化功能障碍作为一种常见并发症,了解其发病机制、诊断标准及相关治疗策略尤为重要。TBI可通过炎症免疫反应、肠神经系统和激素水平影响消化功能。此外,TBI还可通过脑-肠轴的双向通信影响神经功能恢复。因此,本文旨在总结潜在机制,并进一步探索TBI患者的个性化喂养策略、治疗方法、长期预后以及相关技术的最新进展。基于肠-脑轴相互作用进一步了解TBI后消化系统功能障碍的发病机制,有助于未来通过改善消化功能来治疗TBI并改善患者长期预后,从而取得良好的临床疗效。