Lichtenstein J E
Department of Radiology, University of Cincinnati College of Medicine, Ohio.
Radiol Clin North Am. 1993 Nov;31(6):1315-33.
Upper gastrointestinal inflammatory processes are exceedingly common and have a wide spectrum of causes and manifestations. The broad category of acid-peptic disease incorporates the most common and important conditions. Concepts of pathophysiology of gastritis and duodenitis and their relationship to ulcers and neoplasm continue to evolve. The role of infection, especially H. pylori, remains under intense investigation. The spectrum of gastroduodenal inflammation in the immunocompromised host continues to expand and becomes increasingly important. A variety of granulomatous processes, both infectious and idiopathic, involve the upper gastrointestinal tract in overlapping patterns. Although investigation of ulcers and syphilis occupied the attention of the earliest gastrointestinal radiologists, related problems continue to challenge today's radiologic imagers, clinicians, and investigators.
上消化道炎症性疾病极为常见,病因和表现形式多种多样。酸相关性疾病这一广泛类别包含了最常见和最重要的病症。胃炎和十二指肠炎的病理生理学概念及其与溃疡和肿瘤的关系仍在不断演变。感染,尤其是幽门螺杆菌的作用,仍在深入研究中。免疫功能低下宿主的胃十二指肠炎症范围不断扩大,且愈发重要。各种肉芽肿性病变,包括感染性和特发性的,以上消化道为重叠受累部位。尽管溃疡和梅毒的研究最早吸引了胃肠放射科医生的关注,但相关问题至今仍在挑战着当今的放射影像科医生、临床医生和研究人员。