Shreiner Andrew B, Murray Charles, Denton Christopher, Khanna Dinesh
Division of Gastroenterology, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI, USA.
Royal Free Hospital and Division of Medicine, University College London, London, UK.
J Scleroderma Relat Disord. 2016;1(3):247-256. doi: 10.5301/jsrd.5000214. Epub 2016 Oct 18.
In patients with systemic sclerosis (SSc), gastrointestinal (GI) tract involvement is almost universal. Any segment of the GI tract from mouth to anus can be involved, and GI symptoms are a frequent cause of morbidity. In severe cases, GI tract involvement can progress to the point of malnutrition requiring parenteral nutrition. GI tract involvement in SSc contributes to disease-related mortality although mostly as a co-morbidity rather than direct cause of death. The review is intended to help address challenges in the assessment and treatment of GI tract involvement in SSc.
在系统性硬化症(SSc)患者中,胃肠道受累几乎普遍存在。从口腔到肛门的胃肠道任何部位都可能受累,胃肠道症状是发病的常见原因。在严重情况下,胃肠道受累可发展到需要肠外营养的营养不良程度。系统性硬化症中的胃肠道受累会导致与疾病相关的死亡,尽管大多是作为一种合并症而非直接死因。本综述旨在帮助应对系统性硬化症中胃肠道受累评估和治疗方面的挑战。