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通过十二指肠镜检查和内镜下十二指肠活检诊断的乳糜泻。

Coeliac disease diagnosed by means of duodenoscopy and endoscopic duodenal biopsy.

作者信息

Gillberg R, Ahrén C

出版信息

Scand J Gastroenterol. 1977;12(8):911-6. doi: 10.3109/00365527709181349.

DOI:10.3109/00365527709181349
PMID:605350
Abstract

Nineteen patients with suspected coeliac disease were examined by duodenoscopy and biopsy. In all patients a histopathology consistent with coeliac disease was demonstrated in endoscopic biopsies of the duodenal mucosa. On close-up view villous atrophy was seen in vivo. Fourteen patients were re-examined on a gluten-free diet. In 13 patients a restitution of the duodenal mucosa was shown. Duodenoscopy combined with biopsy seems to be a reliable method for the assessment of the mucosal change in coeliac disease.

摘要

对19例疑似乳糜泻的患者进行了十二指肠镜检查及活检。所有患者十二指肠黏膜内镜活检均显示组织病理学表现符合乳糜泻。在近距离观察时,可在活体中看到绒毛萎缩。14例患者接受了无麸质饮食复查。其中13例患者十二指肠黏膜显示恢复。十二指肠镜检查联合活检似乎是评估乳糜泻黏膜变化的可靠方法。

相似文献

1
Coeliac disease diagnosed by means of duodenoscopy and endoscopic duodenal biopsy.通过十二指肠镜检查和内镜下十二指肠活检诊断的乳糜泻。
Scand J Gastroenterol. 1977;12(8):911-6. doi: 10.3109/00365527709181349.
2
Duodenal histology in patients with celiac disease after treatment with a gluten-free diet.乳糜泻患者采用无麸质饮食治疗后的十二指肠组织学变化
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Endoscopic duodenal biopsies in coeliac disease and duodenitis.乳糜泻和十二指肠炎症的内镜下十二指肠活检
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The endoscopic demonstration of coeliac disease.乳糜泻的内镜表现
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Endoscopic demonstration of loss of duodenal folds in the diagnosis of celiac disease.十二指肠皱襞消失的内镜表现对乳糜泻的诊断价值
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A highly accurate method for monitoring histological recovery in patients with celiac disease on a gluten-free diet using an endoscopic approach that avoids the need for biopsy: a double-center study.一种使用内镜方法监测乳糜泻患者在无麸质饮食时组织学恢复情况的高度准确的方法,该方法无需活检:一项双中心研究。
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[The value of duodenal biopsy within routine upper endoscopy: a prospective study in 1000 patients].[常规上消化道内镜检查中十二指肠活检的价值:对1000例患者的前瞻性研究]
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High accuracy and cost-effectiveness of a biopsy-avoiding endoscopic approach in diagnosing coeliac disease.一种避免活检的内镜检查方法在诊断乳糜泻方面的高准确性和成本效益。
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Capsule endoscopy: an alternative to duodenal biopsy for the recognition of villous atrophy in coeliac disease?胶囊内镜检查:乳糜泻中识别绒毛萎缩的十二指肠活检替代方法?
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引用本文的文献

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Coeliac disease: to biopsy or not?乳糜泻:是否需要进行活检?
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2
Management of coeliac disease: a changing diagnostic approach but what value in follow up?乳糜泻的管理:诊断方法不断变化,但随访有何价值?
Qual Health Care. 1992 Mar;1(1):26-8. doi: 10.1136/qshc.1.1.26.
3
Value of endoscopic markers in celiac disease.内镜标志物在乳糜泻中的价值。
Dig Dis Sci. 1993 Nov;38(11):2028-33. doi: 10.1007/BF01297080.
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Small bowel biopsy for malabsorption: comparison of the diagnostic adequacy of endoscopic forceps and capsule biopsy specimens.用于吸收不良的小肠活检:内镜钳取活检与胶囊活检标本诊断充分性的比较
Br Med J (Clin Res Ed). 1985 Sep 21;291(6498):769-72. doi: 10.1136/bmj.291.6498.769.
5
Production of antibodies to gliadin in intestinal mucosa of patients with coeliac disease: a study at the single cell level.乳糜泻患者肠黏膜中针对麦醇溶蛋白抗体的产生:单细胞水平研究
Gut. 1989 Jan;30(1):72-7. doi: 10.1136/gut.30.1.72.