Clark C L, Horwitz B
Section of General Internal Medicine, Temple University School of Medicine, Philadelphia, USA.
Postgrad Med. 1996 Nov;100(5):95-7, 100, 106-8 passim. doi: 10.3810/pgm.1996.11.111.
Gastroesophageal reflux disease is a common disorder that can result in various esophageal and extraesophageal complications. Reflux of gastric contents can cause esophageal mucosal abnormalities, such as ulcers and peptic strictures, as well as pulmonary and otolaryngologic symptoms, including reflux-induced asthma and acid laryngitis. Left untreated, some complications can lead to more severe disorders, such as esophageal adenocarcinoma that develops in patients with Barrett's esophagus. Accurate recognition of these diverse manifestations allows improved identification of patients at risk for reflux-related disorders and aids in proper evaluation and treatment.
胃食管反流病是一种常见疾病,可导致各种食管和食管外并发症。胃内容物反流可引起食管黏膜异常,如溃疡和消化性狭窄,以及肺部和耳鼻喉科症状,包括反流性哮喘和酸性喉炎。若不治疗,一些并发症可导致更严重的疾病,如在巴雷特食管患者中发生的食管腺癌。准确识别这些多样的表现有助于更好地识别有反流相关疾病风险的患者,并有助于进行适当的评估和治疗。