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GERD患者内镜、病理改变与食管测压及pH动态监测之间关系的研究 被引量:2

STUDY OF ENDOSCOPIC AND HISTOLOGICAL CHANGES IN GERD PATIENTS USING ESOPHAGEAL MANOMETRY AND 24 HOUR AMBULATORY pH MONITORING
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摘要 In order to examine the severity of reflux esophagitis and the methods of manometry and 24 hour ambulatory pHmonitoring, 100 gastroesophageal reflux disease (GERD) patients were examined. The results were compared with acontrol group which consisted of 30 healthy individuals. Endoscopy was performed, and esophageal mucosa biopsieswere taken in all patients. Esophageal manometry was recorded using a four tune water perfused system. The severi-ty of esophagitis, determined by both endoscopy and histology, was related to the amplitude of esophageal perista1ticwaves, in partictilar the cardioesophageal sphincter (CES) dysfunction (P < 0. 01), 24 hour reflux total score. Wehave concluded that the severity of reflux esophagitis is related to the duration of reflux, which in turn is associatedwith the impairment of esophageal body motility and CES dysfunction. In order to examine the severity of reflux esophagitis and the methods of manometry and 24 hour ambulatory pHmonitoring, 100 gastroesophageal reflux disease (GERD) patients were examined. The results were compared with acontrol group which consisted of 30 healthy individuals. Endoscopy was performed, and esophageal mucosa biopsieswere taken in all patients. Esophageal manometry was recorded using a four tune water perfused system. The severi-ty of esophagitis, determined by both endoscopy and histology, was related to the amplitude of esophageal perista1ticwaves, in partictilar the cardioesophageal sphincter (CES) dysfunction (P < 0. 01), 24 hour reflux total score. Wehave concluded that the severity of reflux esophagitis is related to the duration of reflux, which in turn is associatedwith the impairment of esophageal body motility and CES dysfunction.
出处 《中国内镜杂志》 CSCD 1997年第2期9-11,17,共4页 China Journal of Endoscopy
关键词 GERD 内窥镜 病理 食管 PH动态监测 Gastroesophageal reflux disease Histology Esophageal manometry 24 Hour ambulatory pH monitoring
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  • 1Dr. David Armstrong MD,Carsten Emde MD,Rudolf Bumm MD,Fabiana Castiglione MD,Teresa Cilluffo MD,André L. Blum MD. Twenty-four-hour pattern of esophageal motility in asymptomatic volunteers[J] 1990,Digestive Diseases and Sciences(10):1190~1197
  • 2Dr. Amadeo Pujol MD,Luís Grande MD,Emilio Ros MD,Cristóbal Pera MD. Utility of inpatient 24-hour intraesophageal pH monitoring in diagnosis of gastroesophageal reflux[J] 1988,Digestive Diseases and Sciences(9):1134~1140

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