Endokrine Störungen và Đường tiêu hóa

Der Gastroenterologe - Tập 6 - Trang 285-291 - 2011
P. Wellhöner1
1Medizinische Klinik I, Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Lübeck, Deutschland

Tóm tắt

Các rối loạn nội tiết là rất quan trọng trong việc điều chỉnh các chức năng cơ thể quan trọng và thường chi phối các hệ thống cơ quan khác. Các triệu chứng tiêu hóa như khó nuốt, đau vùng thượng vị, tiêu chảy hoặc táo bón thường gặp trong thực hành lâm sàng, nhưng việc xác định nguyên nhân có thể khó khăn. Trong việc chẩn đoán phân biệt, ngoài các bệnh tiêu hóa nguyên phát như achalasia, u ác tính của đường tiêu hóa và các bệnh viêm ruột mãn tính, cũng cần xem xét các nguyên nhân nội tiết. Các vấn đề như cường giáp, cường cận giáp nguyên phát hoặc khối u của tụy nội tiết có thể là nguyên nhân gây ra tình trạng tiêu chảy. Mối liên hệ giữa các bệnh nội tiết và tiêu hóa cũng được thể hiện rõ ràng qua sự kết hợp giữa các khối u tuyến giáp dạng nhú với bệnh polyp ác tính gia đình (FAP), sự phát triển nhiều khối u nội tiết (typ 1) với bệnh M. Hirschsprung, và viêm tuyến giáp Hashimoto với bệnh celiac hoặc viêm dạ dày mãn tính teo tụy. Kiến thức về các mối liên hệ này từ phía bác sĩ có thể có ý nghĩa thiết yếu cho bệnh nhân, vì chẩn đoán một bệnh tiêu hóa, chẳng hạn như FAP, cũng yêu cầu phải theo dõi tuyến giáp.

Từ khóa

#rối loạn nội tiết #triệu chứng tiêu hóa #chẩn đoán phân biệt #bệnh polyp ác tính gia đình #cường giáp #viêm tuyến giáp Hashimoto

Tài liệu tham khảo

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