功能性食管胃十二指肠病罗马Ⅳ诊断标准的更新与应用

被引:36
作者
陈昺伃
严晶
孙志广
机构
[1] 南京中医药大学第二附属医院
关键词
功能性食管疾病; 功能性胃十二指肠疾病; 罗马Ⅳ诊断标准;
D O I
暂无
中图分类号
R57 [消化系及腹部疾病];
学科分类号
100201 [内科学];
摘要
在罗马Ⅳ诊断标准中,功能性食管疾病的排除标准在对其他食管疾病深入研究的基础上做了更具体的修订。新增了"反流高敏感"这一疾病,并严格了胃食管反流病的定义。功能性消化不良只做了一些微小的变动,主要是为了提高特异性。幽门螺杆菌感染被认为是可能导致消化不良的原因,这提示胃镜检查和幽门螺杆菌根除疗法是可受益的治疗方法。另外,阿考替胺、坦度螺酮、丁螺环酮等都是在罗马Ⅳ中新列出来的治疗功能性消化不良的药物。
引用
收藏
页码:107 / 111
页数:5
相关论文
共 13 条
[2]
食管胃黏膜异位的临床表现及内镜检出的影响因素分析 [D]. 
赵浩杰 .
新乡医学院,
2015
[3]
Gastroesophageal reflux disease-related and functional heartburn: pathophysiology and treatment[J] Hiroto Miwa;Takashi Kondo;Tadayuki Oshima Current Opinion in Gastroenterology 2016,
[4]
Association of baseline plasma des‐acyl ghrelin level with the response to rikkunshito in patients with functional dyspepsia[J] Koji Togawa;Juntaro Matsuzaki;Masao Kobayakawa;Yasushi Fukushima;Fumio Suzaki;Kunio Kasugai;Toshihiro Nishizawa;Yuji Naito;Toshihiko Hayakawa;Takeshi Kamiya;Takashi Andoh;Hideo Yoshida;Yoshifumi Tokura;Hiroshi Nagata;Mikiji Mori;Kimihiko Kato;Hiroshi Hosoda;Toru Takebayashi;Soichiro Miura;Naomi Uemura;Takashi Joh;Toshifumi Hibi;Hidekazu Suzuki Journal of Gastroenterolog
[5]
Rome III functional dyspepsia subdivision in PDS and EPS : recognizing postprandial symptoms reduces overlap[J] F. Carbone;L. Holvoet;J. Tack Neurogastroenterol. Motil. 2015,
[6]
Effect of Amitriptyline and Escitalopram on Functional Dyspepsia: A Multicenter; Randomized Controlled Study[J] Nicholas J. Talley;G. Richard Locke;Yuri A. Saito;Ann E. Almazar;Ernest P. Bouras;Colin W. Howden;Brian E. Lacy;John K. DiBaise;Charlene M. Prather;Bincy P. Abraham;Hashem B. El-Serag;Paul Moayyedi;Linda M. Herrick;Lawrence A. Szarka;Michael Camilleri;Frank A. Hamilton;Cathy D. Schleck;Katherine E. Tilkes;Alan R. Zinsmeister Gastroenterology 2015,
[7]
Efficacy of Helicobacter pylori Eradication Therapy on Functional Dyspepsia: A Meta-Analysis of Randomized Controlled Studies With 12-Month Follow-up[J] Bing Zhao;Jing Zhao;Wen-Fang Cheng;Wei-Jia Shi;Wei Liu;Xiao-Lin Pan;Guo-Xin Zhang Journal of Clinical Gastroenterology 2014,
[8]
Effect of lansoprazole on the epigastric symptoms of functional dyspepsia (ELF study): A multicentre; prospective; randomized; double-blind; placebo-controlled clinical trial[J] Hidekazu Suzuki;Hiroaki Kusunoki;Takeshi Kamiya;Seiji Futagami;Yasuharu Yamaguchi;Toshihiro Nishizawa;Eisuke Iwasaki;Juntaro Matsuzaki;Shinichi Takahashi;Choitsu Sakamoto;Ken Haruma;Takashi Joh;Keiko Asakura;Toshifumi Hibi United European Gastroenterology Journal 2013,
[9]
Classification of functional dyspepsia based on concomitant bowel symptoms[J] J.Matsuzaki;H.Suzuki;K.Asakura;Y.Fukushima;J. M.Inadomi;T.Takebayashi;T.Hibi Neurogastroenterology & Motility 2012,
[10]
Speech therapy in patients with excessive supragastric belching – a pilot study[J] G. J. M.Hemmink;L.Ten Cate;A. J.Bredenoord;R.Timmer;B. L. A. M.Weusten;A. J. P. M.Smout Neurogastroenterology & Motility 2009,