BMJ Best Practice
最后审核时间: 七月 2019
最近更新时间: 六月 2019

小结

定义

病史和查体

关键诊断因素

  • 存在的危险因素
  • 胸部出现肠鸣音

其他诊断因素

  • 烧心
  • 反流
  • 肥胖
  • 烧心

危险因素

  • 肥胖
  • 既往的胃-食管手术
  • 腹内压升高
  • 男性

诊断性检查

首要检查

  • 胸部 X 线检查 (CXR)
  • 上消化道系列
全部具体信息

需要考虑的检查

  • 食管胃十二指肠镜检查
  • CT扫描或磁共振成像(MRI)
  • 食管测压或PH监测
全部具体信息

治疗流程

贡献者

Constantine T. Frantzides MD, PhD, FACS

Director

Chicago Institute of Minimally Invasive Surgery

Director of Minimally Invasive Surgery and Bariatric Fellowship Program

St. Francis Hospital

Chicago

IL

利益冲突披露
CTF declares that he has no competing interests.
Minh B. Luu MD, FACS

Surgery Residency Associate Director

Associate Professor

Rush University Medical Center

Chicago

IL

利益冲突披露
MBL declares that he has no competing interests.

Dr Constantine T. Frantzides and Dr Minh B. Luu would like to gratefully acknowledge Dr Mark A. Carlson, a previous contributor to this topic. MAC declares that he has no competing interests.

Associate Professor

Department of General, Visceral and Transplant Surgery

University Hospital Tuebingen

Germany

利益冲突披露
FAG declares that he has no competing interests.

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