通过上消化道内窥镜筛查证实患有胃食管反流病的患者对早期发现肺间质疾病的作用

Samar Hassan Elsharkawy, Ahmed Mohamed Osman, Asmaa Rashad Abdou Hamed, Ragy Mamdouh Ghaly
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摘要

胃食管反流病(GERD)是北美地区一种常见的消化系统疾病,可引起各种症状和并发症。18.1%-27.28%的人患有这种疾病,并因此导致生活质量下降。治疗可改善生活质量,但治疗费用较高。该研究旨在评估通过上消化道内窥镜对证实患有胃食管反流病的患者进行筛查对早期发现间质性肺病的作用。本研究为横断面研究。研究将在艾因夏姆斯大学医院胸部疾病科进行。这项前瞻性横断面研究将对通过上消化道内窥镜检查确诊为胃食管反流病的 90 名随机选取的病例进行为期 1 年的检查。为期一年。入组患者的胸部 HRCT 结果显示,15 名患者(16.7%)的 CT 结果呈阳性,提示间质性肺病,而 75 名患者(83.3%)的 CT 扫描结果正常。9 名患者(10%)最常见的 CT 发现是肺不张。年龄与肺纤维化和网状浸润、女性性别和网状浸润之间存在统计学意义上的显著相关性。对经上消化道内窥镜检查确诊为胃食管反流病的患者进行胸部 CT 筛查,对早期发现 ILD 有助于早期管理和治疗。在通过上消化道内窥镜检查确诊为胃食管反流病的患者中,我们发现:网状浸润在女性中更为常见。网状浸润和纤维化随年龄增长而增加。患有食道裂孔疝的患者网状浸润和气胸的发生率增加。咳嗽、呼吸困难和喘息随年龄增长而增加。
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The role of screening of patients proved to have gastroesophageal reflux disease by upper gastrointestinal endoscope for early detection of interstitial lung diseases
Gastroesophageal reflux disease (GERD) is a frequent digestive illness in North America, causing symptoms and complications. It affects 18.1–27.28% of people and is associated with decreased quality of life. Treatment improves quality of life, but treatment costs are higher. The study aims to assess the role of screening of patients proven to have GERD by upper gastrointestinal endoscope for early detection of interstitial lung diseases. This research was cross-sectional research. The study will be conducted at the Chest Diseases Department of Ain Shams University hospitals. This prospective cross-sectional research will be performed on 90 randomly selected cases diagnosed with GERD by upper gastrointestinal endoscopy. For 1 year. The findings of chest HRCT for enrolled patients are 15 patients (16.7%) showed positive CT findings suggestive of interstitial lung disease, whereas 75 patients (83.3%) had normal CT scans. The most common CT finding was atelectasis reported in nine patients (10%). a statistically significant correlation between age and fibrosis and reticular infiltration, female gender, and reticular infiltration. no statistically significant association between CT findings and each of the chest symptoms and GERD symptoms. CT chest screen of patients diagnosed with GERD by upper gastrointestinal endoscopy plays a favorable role in the early detection of ILD to help in early management and treatment them. In patients diagnosed with GERD by upper gastrointestinal endoscopy, we revealed that: reticular infiltration is more prevalent in female gender. Reticular infiltration and fibrosis increase with older age. Reticular infiltration and atelectasis increase in patients who have a hiatus hernia. Cough, dyspnea, and wheezes increase in older age.
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