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樊代明消化病学热点与展望(Fan yuan the hot spot and Prospect of Gastroenterology)
樊代明消化病学热点与展望(Fan yuan the hot spot and Prospect of Gastroenterology)
Dai Ming fan: Gastroenterology focus and prospect from: 2011-11-15 300 comprehensive medical Naomaitong shared reading (5) editor: Liu Yang
Authors: Fan Daiming, Xijing Hospital, The Fourth Military Medical University
With the overall development of medical science, the etiology, pathogenesis, diagnosis, treatment and prevention of digestive diseases have made remarkable progress in the past one hundred years. However, the limited human knowledge and profound life science are still far from digestive disease in the field, there are a lot of problems that we understand, understanding and solving these problems is the way of future development of digestive disease.
The junction is the predilection site of the disease
Whoever calls the junction is often a land of great variety. Where the ingredients mixed, noisy, the junction of the country, the junction of urban and rural areas, land and water junction...... Such is the case at all times and in. A junction of the digestive tract, often as the insurrection of the disease. At the junction of gastric and duodenal peptic ulcer is the predilection site; at the junction of ileum and colon, namely the ileocecal tuberculosis, tumor, and Crohns disease to take place; at the junction of stomach and esophagus (Barrett) is Barretts esophagus and esophageal adenocarcinoma multiple points.
The nature of the Barrett esophagus is that the stratified squamous epithelium of the distal esophagus is replaced by a single columnar epithelium. In recent years, more and more cases have been found in China, and the frequency of esophageal adenocarcinoma is increasing. At present, some scholars believe that this is due to changes in the patients lifestyle or work pressure, resulting in reflux of gastric and duodenal content, resulting in growth of gastric mucosa upward. In fact, this is only a description and speculation of the phenomenon, and its essence is not clear. In my
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