2018年消化系统疾病主要临床进展
|
摘要
2018年国内外胃肠病相关学会及专家制订或更新了诸多消化领域的指南及共识意见,其中国内消化系统疾病相关学组结合我国疾病的发病特点,制订了一些适合我国国情的临床共识,为临床工作的开展带来极大便利。本文主要从幽门螺杆菌感染、贲门失弛缓症、胃肠动力疾病、消化道出血、炎症性肠病、病毒性肝炎、自身免疫性肝病、胰腺疾病、消化系统肿瘤、内镜进展及益生菌临床应用问题等方面入手,全面详尽的介绍消化领域疾病的国内外诊治进展,以期为消化内科医生诊疗疾病提供帮助。
Gastroenterology related guidelines and consensus have been well revised,updated or newly made in2018,covering the maximum variety and updates of the digestive diseases.Clinical consensuses formulated by professors in China provided great convenience to diagnosis and treatment of diseases,as suiting the national condition.This paper focuses on helicobacter pylori infection,achalasia of cardia,gastrointestinal motor disease,gastrointestinal hemorrhage,inflammatory bowel disease,virus hepatitis,autoimmune liver disease,pancreatic disease,digestive system tumors,endoscopic progress,clinical application of probiotics and so on.We aim to give a support in the diagnosis and treatment of digestive diseases for gastroenterologists by summarizing the advances of above diseases.
Gastroenterology related guidelines and consensus have been well revised,updated or newly made in2018,covering the maximum variety and updates of the digestive diseases.Clinical consensuses formulated by professors in China provided great convenience to diagnosis and treatment of diseases,as suiting the national condition.This paper focuses on helicobacter pylori infection,achalasia of cardia,gastrointestinal motor disease,gastrointestinal hemorrhage,inflammatory bowel disease,virus hepatitis,autoimmune liver disease,pancreatic disease,digestive system tumors,endoscopic progress,clinical application of probiotics and so on.We aim to give a support in the diagnosis and treatment of digestive diseases for gastroenterologists by summarizing the advances of above diseases.
引文
[1] El-Serag HB,Kao JY,Kanwal F,et al.Houston Consensus Conference on Testing for Helicobacter pylori Infection in the United States[J].Clin Gastroenterol Hepatol,2018,16(7):992-1002.e6.
[2] Zaninotto G,Bennett C,Boeckxstaens G,et al.The 2018ISDE achalasia guidelines[J].Dis Esophagus,2018,31(9).
[3] Keller J,Bassotti G,Clarke J,et al.Expert consensus document:Advances in the diagnosis and classification of gastric and intestinal motility disorders[J]. Nat Rev Gastroenterol Hepatol,2018,15(5):291-308.
[4] Carrington EV,Scott SM, Bharucha A,et al.Expert consensus document:advances in the evaluation of anorectal function[J].Nat Rev Gastroenterol Hepatol,2018,15(5):309-323.
[5] Sung JJ,Chiu PC,Chan FKL,et al.Asia-Pacific working group consensus on non-variceal upper gastrointestinal bleeding:an update 2018[J].Gut,2018,67(10):1757-1768.
[6]中华消化杂志编辑委员会.小肠出血诊治专家共识意见(2018年,南京)[J].中华消化杂志,2018,38(9):577-582.
[7]中华医学会消化病学分会炎症性肠病学组.炎症性肠病诊断与治疗的共识意见(2018年,北京)[J].中华消化杂志,2018,38(5):292-311.
[8]梁笑楠,尹凤荣,张晓岚.炎症性肠病诊断与治疗的共识意见(2018年,北京)溃疡性结肠炎部分解读[J].临床荟萃,2018,33(11):987-990.
[9]郭亚慧,牛巍巍,张晓岚.炎症性肠病诊断与治疗的共识意见(2018年,北京):克罗恩病部分解读[J].临床荟萃,2018,33(12):1077-1079,1082.
[10] Rieder F,Bettenworth D,Ma C,et al.An expert consensus to standardise definitions,diagnosis and treatment targets for anti-fibrotic stricture therapies in Crohn's disease[J].Aliment Pharmacol Ther,2018,48(3):347-357.
[11] Steinhart AH,Panaccione R,Targownik L,et al.Clinical Practice Guideline for the Medical Management of Perianal Fistulizing Crohn's Disease:the Toronto Consensus[J].Inflamm Bowel Dis,2019,25(1):1-13.
[12] Terrault NA, ASF L, McMahon BJ,et al.Update on prevention,diagnosis,and treatment of chronic hepatitis B:AASLD 2018hepatitis B guidance[J].Hepatology,2018,67(4):1560-1599.
[13] EASL Recommendations on Treatment of Hepatitis C 2018[J].J Hepatol,2018,69(2):461-511.
[14] Gordon CE,Balk EM,Francis JM.Summary of the 2018Kidney Disease Improving Global Outcomes(KDIGO)Guideline on hepatitis C in chronic kidney disease[J].Semin Dial,2018(In press).
[15]中华医学会肝病学分会脂肪肝和酒精性肝病学组,中国医师协会脂肪性肝病专家委员会.非酒精性脂肪性肝病防治指南(2018更新版)[J].中华肝脏病杂志,2018,26(3):195-203.
[16] George ES,Forsyth A,Itsiopoulos C,et al.Practical dietary recommendations for the prevention and management of nonalcoholic fatty liver disease in adults[J].Adv Nutr,2018,9(1):30-40.
[17]中华医学会肝病学分会脂肪肝和酒精性肝病学组,中国医师协会脂肪性肝病专家委员会.酒精性肝病防治指南(2018年更新版)[J].实用肝脏病杂志,2018,21(2):170-176.
[18] Singal AK,Bataller R,Ahn J,et al.ACG Clinical Guideline:Alcoholic Liver Disease[J].Am J Gastroenterol,2018,113(2):175-194.
[19] Hirschfield GM,Dyson JK,GJM A,et al.The British Society of Gastroenterology/UK-PBC primary biliary cholangitis treatment and management guidelines[J].Gut,2018,67(9):1568-1594.
[20] Samarasekera E,Mahammed S,Carlisle S,et al.Pancreatitis:summary of NICE guidance[J].BMJ,2018,362:k3443.
[21] Song J,Zhong Y,Lu X,et al.Enteral nutrition provided within 48hours after admission in severe acute pancreatitis:a systematicreviewandmeta-analysis[J]. Medicine(Baltimore),2018,97(34):e11871.
[22] Yang DJ,Lu HM,Guo Q,et al.Timing of laparoscopic cholecystectomy after mild biliary pancreatitis:a systematic review and meta-analysis[J].J Laparoendosc Adv Surg Tech A,2018,28(4):379-388.
[23]中国医师协会胰腺病专业委员会慢性胰腺炎专委会.慢性胰腺炎诊治指南(2018,广州)[J].中华消化杂志,2018,38(11):739-746.
[24] Whitcomb DC,Shimosegawa T,Chari ST,et al.International consensusstatementsonearlychronicPancreatitis.Recommendationsfromtheworkinggroupforthe international consensus guidelines for chronic pancreatitis in collaborationwiththeInternationalAssociationof Pancreatology, American Pancreatic Association, Japan Pancreas Society,Pancreas Fest Working Group and European Pancreatic Club[J].Pancreatology,2018 May 21.pii:s1424-3903(18)30113-3.
[25] Elta GH,Enestvedt BK,Sauer BG,et al.ACG Clinical Guideline:diagnosis and management of pancreatic cysts[J].Am J Gastroenterol,2018,113(4):464-479.
[26]国家消化系疾病临床医学研究中心,中华医学会消化内镜学分会,中华医学会健康管理学分会,等.中国早期胃癌筛查流程专家共识意见[J].中华消化杂志,2018,38(2):87-92.
[27]虞先濬,刘亮,徐华祥,等.胰腺癌综合诊治指南(2018版)[J].临床肝胆病杂志,2018,34(10):2109-2120.
[28] Chiu PWY,Uedo N,Singh R,et al.An Asian consensus on standards of diagnostic upper endoscopy for neoplasia[J].Gut,2018,68(2):186-197.
[29]北京市科委重大项目《早期胃癌治疗规范研究》专家组,柴宁莉,翟亚奇,等.早期胃癌内镜下规范化切除的专家共识意见(2018,北京)[J].中华胃肠内镜电子杂志,2018,5(2):49-60.
[30] Gwee KA, Lee WW, Ling KL,et al.Consensus and contentious statements on the use of probiotics in clinical practice:A south east Asian gastro-neuro motility association working team report[J].J Gastroenterol Hepatol,2018,33(10):1707-1716.
[2] Zaninotto G,Bennett C,Boeckxstaens G,et al.The 2018ISDE achalasia guidelines[J].Dis Esophagus,2018,31(9).
[3] Keller J,Bassotti G,Clarke J,et al.Expert consensus document:Advances in the diagnosis and classification of gastric and intestinal motility disorders[J]. Nat Rev Gastroenterol Hepatol,2018,15(5):291-308.
[4] Carrington EV,Scott SM, Bharucha A,et al.Expert consensus document:advances in the evaluation of anorectal function[J].Nat Rev Gastroenterol Hepatol,2018,15(5):309-323.
[5] Sung JJ,Chiu PC,Chan FKL,et al.Asia-Pacific working group consensus on non-variceal upper gastrointestinal bleeding:an update 2018[J].Gut,2018,67(10):1757-1768.
[6]中华消化杂志编辑委员会.小肠出血诊治专家共识意见(2018年,南京)[J].中华消化杂志,2018,38(9):577-582.
[7]中华医学会消化病学分会炎症性肠病学组.炎症性肠病诊断与治疗的共识意见(2018年,北京)[J].中华消化杂志,2018,38(5):292-311.
[8]梁笑楠,尹凤荣,张晓岚.炎症性肠病诊断与治疗的共识意见(2018年,北京)溃疡性结肠炎部分解读[J].临床荟萃,2018,33(11):987-990.
[9]郭亚慧,牛巍巍,张晓岚.炎症性肠病诊断与治疗的共识意见(2018年,北京):克罗恩病部分解读[J].临床荟萃,2018,33(12):1077-1079,1082.
[10] Rieder F,Bettenworth D,Ma C,et al.An expert consensus to standardise definitions,diagnosis and treatment targets for anti-fibrotic stricture therapies in Crohn's disease[J].Aliment Pharmacol Ther,2018,48(3):347-357.
[11] Steinhart AH,Panaccione R,Targownik L,et al.Clinical Practice Guideline for the Medical Management of Perianal Fistulizing Crohn's Disease:the Toronto Consensus[J].Inflamm Bowel Dis,2019,25(1):1-13.
[12] Terrault NA, ASF L, McMahon BJ,et al.Update on prevention,diagnosis,and treatment of chronic hepatitis B:AASLD 2018hepatitis B guidance[J].Hepatology,2018,67(4):1560-1599.
[13] EASL Recommendations on Treatment of Hepatitis C 2018[J].J Hepatol,2018,69(2):461-511.
[14] Gordon CE,Balk EM,Francis JM.Summary of the 2018Kidney Disease Improving Global Outcomes(KDIGO)Guideline on hepatitis C in chronic kidney disease[J].Semin Dial,2018(In press).
[15]中华医学会肝病学分会脂肪肝和酒精性肝病学组,中国医师协会脂肪性肝病专家委员会.非酒精性脂肪性肝病防治指南(2018更新版)[J].中华肝脏病杂志,2018,26(3):195-203.
[16] George ES,Forsyth A,Itsiopoulos C,et al.Practical dietary recommendations for the prevention and management of nonalcoholic fatty liver disease in adults[J].Adv Nutr,2018,9(1):30-40.
[17]中华医学会肝病学分会脂肪肝和酒精性肝病学组,中国医师协会脂肪性肝病专家委员会.酒精性肝病防治指南(2018年更新版)[J].实用肝脏病杂志,2018,21(2):170-176.
[18] Singal AK,Bataller R,Ahn J,et al.ACG Clinical Guideline:Alcoholic Liver Disease[J].Am J Gastroenterol,2018,113(2):175-194.
[19] Hirschfield GM,Dyson JK,GJM A,et al.The British Society of Gastroenterology/UK-PBC primary biliary cholangitis treatment and management guidelines[J].Gut,2018,67(9):1568-1594.
[20] Samarasekera E,Mahammed S,Carlisle S,et al.Pancreatitis:summary of NICE guidance[J].BMJ,2018,362:k3443.
[21] Song J,Zhong Y,Lu X,et al.Enteral nutrition provided within 48hours after admission in severe acute pancreatitis:a systematicreviewandmeta-analysis[J]. Medicine(Baltimore),2018,97(34):e11871.
[22] Yang DJ,Lu HM,Guo Q,et al.Timing of laparoscopic cholecystectomy after mild biliary pancreatitis:a systematic review and meta-analysis[J].J Laparoendosc Adv Surg Tech A,2018,28(4):379-388.
[23]中国医师协会胰腺病专业委员会慢性胰腺炎专委会.慢性胰腺炎诊治指南(2018,广州)[J].中华消化杂志,2018,38(11):739-746.
[24] Whitcomb DC,Shimosegawa T,Chari ST,et al.International consensusstatementsonearlychronicPancreatitis.Recommendationsfromtheworkinggroupforthe international consensus guidelines for chronic pancreatitis in collaborationwiththeInternationalAssociationof Pancreatology, American Pancreatic Association, Japan Pancreas Society,Pancreas Fest Working Group and European Pancreatic Club[J].Pancreatology,2018 May 21.pii:s1424-3903(18)30113-3.
[25] Elta GH,Enestvedt BK,Sauer BG,et al.ACG Clinical Guideline:diagnosis and management of pancreatic cysts[J].Am J Gastroenterol,2018,113(4):464-479.
[26]国家消化系疾病临床医学研究中心,中华医学会消化内镜学分会,中华医学会健康管理学分会,等.中国早期胃癌筛查流程专家共识意见[J].中华消化杂志,2018,38(2):87-92.
[27]虞先濬,刘亮,徐华祥,等.胰腺癌综合诊治指南(2018版)[J].临床肝胆病杂志,2018,34(10):2109-2120.
[28] Chiu PWY,Uedo N,Singh R,et al.An Asian consensus on standards of diagnostic upper endoscopy for neoplasia[J].Gut,2018,68(2):186-197.
[29]北京市科委重大项目《早期胃癌治疗规范研究》专家组,柴宁莉,翟亚奇,等.早期胃癌内镜下规范化切除的专家共识意见(2018,北京)[J].中华胃肠内镜电子杂志,2018,5(2):49-60.
[30] Gwee KA, Lee WW, Ling KL,et al.Consensus and contentious statements on the use of probiotics in clinical practice:A south east Asian gastro-neuro motility association working team report[J].J Gastroenterol Hepatol,2018,33(10):1707-1716.