Ahmed W, Qureshi H, Zuberi S J, Naqvi A J, Mahmood S, Rafiq N
PMRC Research Centre, Jinnah Postgraduate Medical Centre, Karachi.
J Pak Med Assoc. 1993 May;43(5):95-6.
To determine the frequency and type of upper gastrointestinal lesions in patients with chronic renal failure (CRF), upper G.I. endoscopy was done in 101 cases. Of the various mucosal lesions, inflammatory changes were seen maximally (40), followed by erosions (16) and ulcers (7). Other changes included atrophic gastro-duodenal folds (17), pale mucosa (11) and moniliasis (6) which was only seen in patients with end stage CRF. Lesions were more frequent in those who were in advanced stage of CRF (81%) and those undergoing dialysis (79%), reflecting a positive correlation of upper G.I. lesions with the severity of CRF.
为确定慢性肾衰竭(CRF)患者上消化道病变的频率和类型,对101例患者进行了上消化道内镜检查。在各种黏膜病变中,炎症改变最为常见(40例),其次是糜烂(16例)和溃疡(7例)。其他改变包括萎缩性胃十二指肠皱襞(17例)、黏膜苍白(11例)和念珠菌病(6例),后者仅见于终末期CRF患者。CRF晚期患者(81%)和接受透析患者(79%)的病变更为常见,这反映了上消化道病变与CRF严重程度呈正相关。