Zishan Liu, Zhuoyan Huang, Yu Wang, Shanshan Xiong, Sinan Lin, Jinshen He, Jinyu Tan, Caiguang Liu, Xiaomin Wu, Jing Nie, Weidong Huang, Yao Zhang, Longyuan Zhou, Ren Mao
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引用次数: 0
摘要
克罗恩病(Crohn's disease,CD)是一种慢性炎症性疾病,近 35% 的病例在确诊后 10 年内会出现肠狭窄。发病机制不明、缺乏公认的标准以及缺乏有效的管理方法,这些仍然是结构性 CD 难以克服的挑战。严格型 CD 的发病机制涉及免疫细胞失调、成纤维细胞活化和微生态失衡等因素之间错综复杂的相互作用。单细胞测序等新技术提供了全新的视角。血清生物标记物和新型横断面成像技术等非侵入性诊断工具为准确了解肠纤维化提供了可能。在此,我们及时、全面地回顾了2023年肠道狭窄领域值得关注的进展,旨在发布有关肠道纤维化的前沿信息,为研究人员和临床医生在肠道狭窄领域取得更大进展奠定基石。
Intestinal strictures in Crohn's disease: An update from 2023.
Crohn's disease (CD) is a chronic inflammatory disease that leads to intestinal stricture in nearly 35% of cases within 10 years of initial diagnosis. The unknown pathogenesis, lack of universally accepted criteria, and absence of an effective management approach remain unconquered challenges in structuring CD. The pathogenesis of stricturing CD involves intricate interactions between factors such as immune cell dysbiosis, fibroblast activation, and microecology imbalance. New techniques such as single-cell sequencing provide a fresh perspective. Non-invasive diagnostic tools such as serum biomarkers and novel cross-sectional imaging techniques offer a precise understanding of intestinal fibrostenosis. Here, we provide a timely and comprehensive review of the worthy advancements in intestinal strictures in 2023, aiming to dispense cutting-edge information regarding fibrosis and to build a cornerstone for researchers and clinicians to make greater progress in the field of intestinal strictures.
期刊介绍:
United European Gastroenterology Journal (UEG Journal) is the official Journal of the United European Gastroenterology (UEG), a professional non-profit organisation combining all the leading European societies concerned with digestive disease. UEG’s member societies represent over 22,000 specialists working across medicine, surgery, paediatrics, GI oncology and endoscopy, which makes UEG a unique platform for collaboration and the exchange of knowledge.