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[反流性食管炎:临床内镜方面]

[Reflux esophagitis: clinico-endoscopic aspects].

作者信息

Maraschin B, Ronzani G, Calcaterra F

出版信息

Minerva Med. 1985 Sep 29;76(37):1687-91.

PMID:4047453
Abstract

Though long well known, reflux oesophagitis is as yet poorly understood in terms of both incidence and physiopathology. These aspects of gastrooesophageal reflux were studied in a group of patients subjected to endoscopic examination. The 13.6% incidence of the condition was very similar to the encountered incidence of ulcers. In two thirds of the cases, anamnesis is sufficient for correct diagnosis. In its more severe forms, reflux oesophagitis is associated with hiatus hernia and overindulgence in tobacco or alcohol. Routine radiology is practically or completely useless for the diagnosis of reflux oesophagitis. The use of the Savary classification system facilitates endoscopic diagnosis and staging.

摘要

尽管反流性食管炎早已为人熟知,但在发病率和生理病理学方面,人们对它的了解仍很有限。对一组接受内镜检查的患者研究了胃食管反流的这些方面。该病症13.6%的发病率与所遇到的溃疡发病率非常相似。在三分之二的病例中,病史采集足以做出正确诊断。反流性食管炎的较严重形式与食管裂孔疝以及过度吸烟或饮酒有关。常规放射学检查对反流性食管炎的诊断几乎毫无用处或完全无用。使用萨瓦里分类系统有助于内镜诊断和分期。

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