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[全身性疾病在胃肠道的表现]

[Manifestations of systemic diseases in the gastrointestinal tract].

作者信息

Rösch W

出版信息

Fortschr Med. 1976 Mar 11;94(8):405-9.

PMID:964897
Abstract

Under the aspect of systemic diseases and their manifestation in the gut the following conclusions can be drawn: 1. The skin is the mirror of the intestinal tract; not only in primary gastroenterological disorders one should look for dermatological complications, but should also think in chronic skin lesions of concomitant intestinal alterations. 2. In all patients with collagen diseases a gastrointestinal involvement is very common. 3. In all endocrine disorders except in hypothyroidism diarrhea is a very common finding. 4. Infiltrations of gastrointestinal tract can be demonstrated in many cases by gastric, small bowel or rectal biopsy. 5. In all forms of dysgammaglobulinemia giardiasis is very common. 6. In right heart failure protein-losing enteropathy should be considered, in left ventricular insufficiency bowel ischemia.

摘要

在全身性疾病及其肠道表现方面,可以得出以下结论:1. 皮肤是肠道的镜子;不仅在原发性胃肠疾病中应寻找皮肤并发症,对于伴有肠道改变的慢性皮肤病变也应予以考虑。2. 在所有胶原病患者中,胃肠道受累非常常见。3. 在除甲状腺功能减退症之外的所有内分泌疾病中,腹泻是非常常见的表现。4. 在许多情况下,通过胃、小肠或直肠活检可证实胃肠道存在浸润。5. 在所有形式的免疫球蛋白异常血症中,贾第虫病非常常见。6. 在右心衰竭时应考虑蛋白丢失性肠病,在左心室功能不全时应考虑肠缺血。

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