华西医学2024,Vol.39Issue(1) :129-135.DOI:10.7507/1002-0179.202307101

小肠细菌过度生长与非糜烂性胃食管反流病相关性研究进展

Research progress on the correlation between small intestinal bacterial overgrowth and non-erosive gastroesophageal reflux disease

汤世琳 冯才举 张秀梅 徐志洪 熊鑫 何素玉
华西医学2024,Vol.39Issue(1) :129-135.DOI:10.7507/1002-0179.202307101

小肠细菌过度生长与非糜烂性胃食管反流病相关性研究进展

Research progress on the correlation between small intestinal bacterial overgrowth and non-erosive gastroesophageal reflux disease

汤世琳 1冯才举 1张秀梅 1徐志洪 1熊鑫 2何素玉3
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作者信息

  • 1. 遵义医科大学研究生院(贵州遵义 563000)
  • 2. 遂宁市中心医院消化中心四病区(四川遂宁 629000)
  • 3. 遵义医科大学研究生院(贵州遵义 563000);遂宁市中心医院消化中心四病区(四川遂宁 629000)
  • 折叠

摘要

非糜烂性胃食管反流病(non-erosive gastroesophageal reflux disease,NERD)指具有反酸、烧心等症状且存在病理性反流,但内镜下没有显著食管黏膜损害的疾病.其发病可能与食管下括约肌功能障碍、食管廓清能力减弱、内脏高敏感性及肠道微生态紊乱等因素相关,但具体机制尚不明确.小肠细菌过度生长(small intestinal bacterial overgrowth,SIBO)是一种常见的肠道菌群紊乱综合征.多项研究表明,SIBO与NERD存在一定相关性,SIBO可能通过炎症反应、产气、短链脂肪酸增加等机制参与NERD的发生与发展.因此,该文就SIBO与NERD的相关性作一综述,旨在为NERD诊疗提供新的思路.

Abstract

Non-erosive gastroesophageal reflux disease(NERD)refers to a disease with symptoms such as acid reflux,heartburn and pathological reflux,but no significant esophageal mucosal damage under endoscopy.Its pathogenesis may be related to factors such as lower esophageal sphincter dysfunction,weakened esophageal clearance ability,visceral hypersensitivity,and disordered intestinal microecology,but the specific mechanism is still unclear.Small intestinal bacterial overgrowth(SIBO)is a common intestinal flora disorder syndrome.A number of studies have shown that SIBO has a certain correlation with NERD,and SIBO may be involved in the occurrence and development of NERD through mechanisms such as inflammatory response,gas production,and increased short-chain fatty acids.Therefore,this article reviews the correlation between NERD and SIBO,aiming to provide new ideas for the diagnosis and treatment of NERD.

关键词

小肠细菌过度生长/非糜烂性胃食管反流病/肠道微生态/炎症反应/消化道动力障碍

Key words

small intestinal bacterial overgrowth/non-erosive gastroesophageal reflux disease/intestinal microecology/inflammatory reaction/gastrointestinal motility disorder

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基金项目

四川省科学技术厅科技计划项目(2023YFS0488)

出版年

2024
华西医学
四川大学华西医院

华西医学

CSTPCD
影响因子:0.744
ISSN:1002-0179
参考文献量19
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