海外マルファン情報

米国マルファン症候群患者団体The Marfan Foundationからの情報を中心に、マルファン症候群や関連疾患についての海外情報を翻訳して発信します。

消化器

好酸球性食道炎の発症タイミングについて

Navigating GI Management in LDS 46:23-47:56 Q: Can EoE be triggered hours after exposure to the allergen? Is that different than a long-term symptom onset? I think I'm not exactly sure how the question... maybe you understand what they're …

炎症性腸疾患の内視鏡検査について

Navigating GI Management in LDS 45:06-46:21 Q: This question is about planning an endoscopy and a colonoscopy. If you see evidence of IBD on an endoscopy alone, would you see that or do you need a colonoscopy to take a look at that? 胃や大…

LDSと吸収不良との関連について

Navigating GI Management in LDS 42:52-45:03 Q: Is there a correlation between LDS and malabsorption? LDSと吸収不良との間に関連はありますか? A: Malabsorption is when your body cannot appropriately absorb all the nutrients you're eating. Th…

消化器疾患に対する生物学的製剤について

Navigating GI Management in LDS 35:31-39:28 Q: I will say that there are a couple of themes coming up. One is about medication management and EoE, another's on like EoE. So I'm going to just try and sort through these and go through them i…

ロイス・ディーツ症候群における消化器管理 〜まとめ〜

Navigating GI Management in LDS 34:06-35:01 So, a summary and then I'm happy to take questions. では、まとめです。後ほど質問にお答えします。 BMI should be looked at at every visit. Proper nutrition can lead to a faster recovery from surger…

ロイス・ディーツ症候群における消化器管理 〜その他の消化器疾患〜

Navigating GI Management in LDS 32:58-34:05 Other anatomic issues which we've seen in Loeys-Dietz syndrome - these are rare events, so I can't conclusively say at this point that these are more likely to occur in Loeys-Dietz syndrome, only…

ロイス・ディーツ症候群における消化器管理 〜ヘルニア〜

Navigating GI Management in LDS 30:15-32:57 So last subject is just some anatomic considerations. Hernias tend to be very common in LDS. There are hernias like, for example, where you've had a surgery where there's been an incision in the …

ロイス・ディーツ症候群における消化器管理 〜機能性胃腸障害〜

Navigating GI Management in LDS 27:42-30:12 So the last thing in terms of... oh, there are a couple of other things. One of them is disorders of gut-brain interaction or functional GI disorders, and I want to talk about this because this i…

ロイス・ディーツ症候群における消化器管理 〜炎症性腸疾患(IBD)〜

Navigating GI Management in LDS 24:42-27:40 Another type of intestinal inflammation that is more common in people with LDS is something called inflammatory bowel disease (IBD). Inflammatory bowel diseases occur when your white blood cells …

ロイス・ディーツ症候群における消化器管理 〜好酸球性消化器疾患〜

Navigating GI Management in LDS 21:54-24:40 Let's talk about some inflammation. So I talked about the fast allergy; there's a slow motion food allergy that can occur in the lining of the intestines. This is eosinophilic GI disease. The mos…

ロイス・ディーツ症候群における消化器管理 〜便秘〜

Navigating GI Management in LDS 12:25-18:38 We're going to talk about constipation a little bit. This is super common in people with connective tissue disorders. Well, it's super common in general, but in people with connective tissue diso…

LDSガイドラインの改訂に向けて ~消化器疾患とがんの発症リスク~

LDS Guidelines: Then vs. Now 46:57-50:15 Same thing for gastroenterology and nutrition for Loeys-Dietz syndrome. We do follow the growth of our patients, especially our young kiddos very closely, especially if someone is looking at a surge…

慢性的な嘔吐について

Loeys-Dietz Gastroenterology and Allergy Q&A 35:55-37:00 Q:Would you say the same for chronic or even like periodic vomiting? 慢性的な嘔吐や周期的な嘔吐の対処法を教えてください。 A:Absolutely, so, if, if, if you have chronic vomiting that …

慢性的な下痢について

Loeys-Dietz Gastroenterology and Allergy Q&A 34:39-35:54 Q:How about treatments or medications to identify or alleviate with chronic diarrhea? 慢性的な下痢の原因を調べる方法、対処法を教えてください。 A:I think there again I think a GI work…

体重を増やすにはどうしたらいいか?

Loeys-Dietz Gastroenterology and Allergy Q&A 28:59-32:41 Q:Several questions about sort of like general weight gain I know you touched on that, so if we could expand a little bit on, you know, aside from Miralax, exercise, fiber for kids o…

ロイス・ディーツ症候群に多い腸疾患と内視鏡検査時の注意事項

Loeys-Dietz Gastroenterology and Allergy Q&A 19:00-24:14 Q:Inflammation of the colon, is this common a common part of LDS? What is a solution and then this person is saying, "I've had two scopes, both just showed inflammation", so wonderin…

ロイス・ディーツ症候群におけるアレルギーと消化器疾患 ~腸脳相関~

Loeys-Dietz Gastroenterology and Allergy Q&A 11:10-11:41 Lastly, there are disorders of gut-brain interaction. This is a newer name, a functional abdominal pain, is a name functional abdominal disorders, irritable bowel syndromes, so these…

ロイス・ディーツ症候群と消化器疾患

はじめに ロイス・ディーツ症候群で多くみられる消化器疾患 ・食物アレルギー ・好酸球性消化器疾患(好酸球性食道炎/胃腸炎/大腸炎) ・炎症性腸疾患(IBD) ・便秘 消化器疾患の診断法 ・臨床検査 ・内視鏡検査 ・レントゲン・CT・MRI 消化器疾患の管理・…

結合組織疾患が腸に与える影響

Pediatric Gastrointestinal Issues in LDS (August 27, 2020) E3 Summit 1:02:16-1:04:22 Q:This is another one specifically from a Marfan patient but I'm going to guess it's got cross, cross applicability again, so he says can severe constipat…

好酸球性食道炎の治療法について

Pediatric Gastrointestinal Issues in LDS (August 27, 2020) E3 Summit 54:23-55:49 Q:Are there any new treatments for, I'm just gonna go ahead and use the abbreviation EoE so I don't butcher the, the words here, except diet, steroids, and PP…

LDSでBMIが低い状態が続いている場合はどうするか?

Pediatric Gastrointestinal Issues in LDS (August 27, 2020) E3 Summit 51:47-54:19 Q:What are the main nutritional concerns with a consistently low BMI for LDS children? My 15-year-old has struggled with weight gain and his type Loeys-Dietz …

LDSでの嘔吐について

Pediatric Gastrointestinal Issues in LDS (August 27, 2020) E3 Summit 49:50-51:33 Q:Next question my son with Loeys-Dietz gets sick or vomits at least a couple times a week. Should he be seeing a gastroenterologist or is this common? LDSの…

ミララックスの長期服用について

Pediatric Gastrointestinal Issues in LDS (August 27, 2020) E3 Summit 46:18-48:01 Q:Next question is taking Miralax daily twice a day okay and does it cause malnutrition and/or low potassium? ミララックスを毎日2回服用しても問題ないでしょう…

LDS小児の消化器疾患 ~まとめ~

Pediatric Gastrointestinal Issues in LDS (August 27, 2020) E3 Summit 38:55-40:30 So to summarize your body mass index or if you're less than two your weight for length should be plotted at every visit and if it is low dropping or a surgery…

LDS小児の消化器疾患 ~炎症性大腸炎の所見・診断・治療~

Pediatric Gastrointestinal Issues in LDS (August 27, 2020) E3 Summit 37:51-38:54 Symptoms of inflammatory bowel disease include poor growth, diarrhea, blood in the stool and blood tests that show hidden inflammation, anemia or low red bloo…

LDS小児の消化器疾患 ~炎症性大腸炎~

Pediatric Gastrointestinal Issues in LDS (August 27, 2020) E3 Summit 35:53-37:48 What I'm going to be spending some more time I'm talking about is another form of intestinal inflammation called inflammatory bowel disease or IBD. 次に炎症性…

LDS小児の消化器疾患 ~好酸球性食道炎~

Pediatric Gastrointestinal Issues in LDS (August 27, 2020) E3 Summit 34:46-38:54 Lastly I'm going to talk about intestinal inflammation in Loeys-Dietz syndrome. 最後はLDSにおける炎症性腸疾患についてお話します。 The first kind of intestinal…

LDS小児の消化器疾患 ~便秘が改善しない場合の追加検査など~

Pediatric Gastrointestinal Issues in LDS (August 27, 2020) E3 Summit 32:41-34:44 Other things to consider if you're not responding as expected to a daily stool softener and or a stimulant is additional testing. 便軟化剤や刺激薬を毎日服用し…

LDS小児の消化器疾患 ~長期間続く便秘の影響~

Pediatric Gastrointestinal Issues in LDS (August 27, 2020) E3 Summit 30:44-32:39 With long-term constipation we can see some other issues. 長期間続く便秘に関しては他にもいくつかの問題があります。 So having a bowel movement requires coordin…

LDS小児の消化器疾患 ~便秘と便軟化剤~

Pediatric Gastrointestinal Issues in LDS (August 27, 2020) E3 Summit 28:21-30:42 We're going to shift gears and talk about constipation for a little bit now. では、便秘の話に移りたいと思います。 So for this talk I'm going to use a definiti…