胃食管反流病与功能性消化不良

Q4 Medicine
Yoshimasa Hoshikawa, Katsuhiko Iwakiri
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引用次数: 0

摘要

胃食管反流病(GERD)和功能性消化不良是常见的胃肠道疾病。胃反流主要表现为胃灼热和反流,而功能性消化不良在没有明显器质性疾病的情况下诊断,尽管持续的上腹部不适。反流胃食管反流和功能性消化不良都可能严重恶化患者的生活质量,尽管它们通常不会影响预后。考虑器质性疾病(如恶性肿瘤)是至关重要的,特别是那些存在高风险因素(包括高龄和体重减轻)的患者。一般健康状况稳定、可接受定期随访和侵入性手术(如内窥镜检查)的患者,应建议到专门机构就诊。如果最初的治疗方案未能缓解症状,这一点尤为重要。这种方法确保了最佳的患者护理和有效的症状管理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Gastroesophageal Reflux Disease and Functional Dyspepsia].

Gastroesophageal reflux disease(GERD)and functional dyspepsia are common gastrointestinal disorders. GERD primarily manifests as heartburn and regurgitation, whereas functional dyspepsia is diagnosed in the absence of a discernible organic disease, despite persistent epigastric discomfort. Both GERD and functional dyspepsia can substantially worsen the patient's quality of life, although they do not typically influence prognosis. It is crucial to consider organic diseases, such as malignancies, particularly in patients who present with high-risk factors, including advanced age and weight loss. Patients with stable general health who are amenable to regular follow-ups and invasive procedures, such as endoscopy, should be advised to seek care at specialized facilities. This is particularly relevant if the initial treatment regimen fails to alleviate symptoms. This approach ensures optimal patient care and effective symptom management.

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来源期刊
Neurological Surgery
Neurological Surgery Medicine-Medicine (all)
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