揭开看不见的:建立一个神经胃肠病学单位-目前在临床实践中的挑战。

IF 2
Vasile Drug, Oana Cristina Petrea, Oana Barboi, Teodora Surdea Blaga, Anca Dimitriu, Ion Bancila, Liliana David, Diana Floria, Anca Trifan, Carol Stanciu, Radu Tutuian, Dan L Dumitrascu
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引用次数: 0

摘要

神经胃肠疾病,也被称为“肠脑相互作用紊乱”,是胃肠道疾病,包括各种症状,如吞咽困难、胸痛、胃灼热、腹痛、恶心和呕吐、腹胀、便秘、腹泻或大便排出。由于缺乏对这些疾病的认识、知识和培训,导致对这些疾病的诊断不足,这与转介到胃肠科医生或急诊室就诊的人数增加有关,同时还伴随着医疗成本的急剧上升和生活质量的下降。尽管在内窥镜和放射学方面取得了进步,但运动和pH阻抗检查仍然是准确诊断“肠-脑相互作用紊乱”的基础,但这些检查需要由训练有素的人员在专门的运动单元中进行,并配备高性能设备。主要的运动检查包括高分辨率食管测压和pH值监测食管功能,高分辨率肛肠测压和气囊排出试验检测肛肠功能,以及用于识别生态失调和食物不耐受的氢/甲烷呼气试验。本文的目的是强调建立神经胃肠病学和动力科的重要性,并提供关于在社区或学术实践中建立动力实验室时遇到的主要问题的最新概述,包括人员培训,设备和通常执行的动力程序及其临床用途的考虑。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Unveiling the Unseen: Building a Neurogastroenterology Unit - Current Challenges in Clinical Practice.

Neurogastroenterology disorders, also known as "Disorders of Gut-Brain Interaction" are gastrointestinal disorders that comprise a wide range of symptoms such as dysphagia, chest pain, heartburn, abdominal pain, nausea and vomiting, bloating, constipation, diarrhea or stool discharge. Scarcity of recognition, knowledge and training leading to the underdiagnosis of these conditions is associated with increased referrals to gastroenterologists or emergency room visits, along with a dramatic rise in healthcare costs and impaired quality of life. Despite advances in endoscopy and radiology, motility and pH impedance procedures remain the cornerstone of an accurate "Disorders of Gut-Brain Interaction" diagnosis, but these procedures need to be performed by well-trained personnel in a dedicated motility unit, with high-performance equipment. The primary motility procedures include high-resolution esophageal manometry and pH monitoring for esophageal function, high-resolution anorectal manometry and balloon expulsion tests for anorectal function, as well as hydrogen/methane breath tests for identifying dysbiosis and food intolerances. The purpose of this article is to highlight the importance of establishing a Neurogastroenterology and Motility Unit, and to provide an up-to-date overview on the main issues encountered when setting up a motility laboratory in the community or academic practice, including considerations for personnel training, equipment, and commonly performed motility procedures and their clinical usefulness.

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