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Metabolic syndrome and gastro-esophageal reflux:A link towards a growing interest in developed countries

Metabolic syndrome and gastro-esophageal reflux:A link towards a growing interest in developed countries

作     者:Enzo Ierardi Rosa Rosania Mariangela Zotti Simonetta Principe Giulio Laonigro Floriana Giorgio Vincenzo de Francesco Carmine Panella 

作者机构:Gastroenterology SectionDepartment of Medical SciencesUniversity of Foggia 

出 版 物:《World Journal of Gastrointestinal Pathophysiology》 (世界胃肠病理生理学杂志(英文版)(电子版))

年 卷 期:2010年第1卷第3期

页      面:91-96页

学科分类:1002[医学-临床医学] 100201[医学-内科学(含:心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主  题:Gastroesophageal reflux disease Metabolic syndrome Obesity Insulin resistance 

摘      要:The aim of this Editorial is to describe the growing possibility of a link between gastro-esophageal reflux disease (GERD) and metabolic syndrome on the light of recent epidemiological and pathophysiological evidence. The state of the art of GERD is described,based on recent definitions,pathophysiological evidence,epidemiology in developed countries,clinical subtypes together with a diagnostic approach specifically focussed on the appropriateness of endoscopy. Metabolic syndrome is accurately defined and the pivotal role of insulin resistance is emphasized. The strong relationship between GERD and metabolic syndrome has been pathophysiologically analyzed,taking into account the role of obesity,mechanical factors and metabolic changes. Data collected by our group regarding eating habits and GERD are briefly summarized at the end of a pathophysiological analysis. The literature on the subject strongly supports the possibility that lifestyle and eating habits may be involved in both GERD and metabolic syndrome in developed countries.

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