胃食管反流病和食管裂孔疝

Estefania Moreno, Philip Woodland
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引用次数: 0

摘要

胃食管反流病(GORD)是一种常见疾病,在英国的发病率越来越高。食道裂孔疝是罹患胃食管反流病的最大风险因素,但这并非必要条件。胃食管反流患者最常见的症状是烧心和反酸。胃食管反流病的诊断通常是根据临床病史做出的。内镜检查和动态 pH 值监测是辅助检查,可影响治疗决策。治疗的主要目标是控制症状和预防巴雷特食管和消化性狭窄等并发症。治疗方案包括生活方式干预、质子泵抑制剂,以及为特定患者实施抗反流手术。
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Gastro-oesophageal reflux disease and hiatus hernia

Gastro-oesophageal reflux disease (GORD) is a common disorder with an increasing prevalence in the UK. The presence of a hiatus hernia is the strongest risk factor for developing GORD, although it is not essential. The most common symptoms experienced by patients with GORD are heartburn and acid regurgitation. The diagnosis of GORD is usually made from the clinical history. Endoscopy and ambulatory pH monitoring are adjunctive tests that can influence management decisions. The main goals of treatment are symptom control and the prevention of complications such as Barrett's oesophagus and peptic stricture. Treatment options include lifestyle interventions, proton pump inhibitors and, in selected patients, antireflux surgery.

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Contents Editorial Board Editorial: Medical problems in pregnancy Management of pre-gestational diabetes in pregnancy Endocrine disorders in pregnancy
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