1、便潜血阳性 positive fecal occult blood test缺铁性贫血 iron deficiency anemia黄疸 jaundice间胆升高(高非结合胆红素血症) unconjugated hyperbilirubinemia直胆升高(高结合胆红素血症)conjugated hyperbilirubinemia胆汁淤积 cholestasis肝内胆汁淤积 intrahepatic cholestasis肝外胆汁淤积 extrahepatic cholestasis肝功能异常 abnormal liver chemistries腹水 ascites肝占位 liver mas
2、s消瘦 weight loss二、食管疾病贲门失弛缓 achalasia远端食管痉挛 distal esophageal spasm(DES)胃食管反流病 gastroesophageal reflux disease(GERD)食管裂孔疝 hiatal hernia反流性食管炎/糜烂性食管炎 reflux esophagitis/erosive esophagitis非糜烂性胃食管反流病 nonerosive reflux disease(NERD)Barrett食管 Barretts esophagus消化性食管狭窄 peptic esophageal stricture药物所致的食管损伤
3、 medication-induced esophageal injury/pill-induced esophagitis嗜酸细胞性食管炎 eosinophilic esophagitis贲门黏膜撕裂 Mallory-Weiss syndrome自发性食管破裂 Boerhaaves syndrome自发性食管血肿 spontaneous esophageal hematoma真菌性食管炎 fungal esophagitis念珠菌性食管炎 candidal esophagitis病毒性食管炎 viral esophagitis食管鳞癌 esophageal squamous cell car
4、cinoma食管腺癌 esophageal adenocarcinoma食管乳头状瘤 esophageal papilloma食管平滑肌瘤 esophageal leiomyoma食管脂肪瘤 esophageal lipoma食管静脉曲张 esophageal varices三、胃和十二指肠疾病胃轻瘫 gastroparesis幽门螺杆菌感染 helicobacter pylori infection胃炎 gastritis慢性浅表性胃炎 chronic superficial gastritis慢性非萎缩性胃炎 chronic non-atrophic gastritis慢性萎缩性胃炎 ch
5、ronic atrophic gastritis自身免疫性萎缩性胃炎 autoimmune metaplastic atrophic gastritis肠化生 intestinal metaplasia异型增生 dysplasia嗜酸细胞性胃肠炎 eosinophilic gastroenteritis急性糜烂性胃炎 acute erosive gastritisMntrier 病 Mtriers disease门脉高压性胃病 portal hypertensive gastropathy胃底静脉曲张 gastric varices胃石 gastric bezoar消化性溃疡病 peptic
6、ulcer disease胃溃疡 gastric ulcer十二指肠溃疡 duodenal ulcer难治性溃疡 refractory ulcer溃疡出血 ulcer bleedingForrest分级 Forrest ClassificationI级 活动出血 active bleedingIa 喷射样出血 spurting hemorrhageIb 渗血 oozing hemorrhageII级 有近期出血征象 stigmata of recent hemorrhageIIa 血管显露 visible vesselIIb 血栓附着 adherent clotIIc 平坦的色素沉着 flat
7、 pigmentationIII级 干净的溃疡底部 clean-base ulcersDieulafoy病变 Dieulafoys lesion穿孔 perforation胃出口梗阻(幽门梗阻) gastric outlet obstruction应激性溃疡 stress ulcers卓-艾综合征 Zollinger-Ellison syndrome胃息肉 gastric polyps胃底腺息肉 fundic gland polyps增生性息肉 Hyperplastic polyps腺瘤 adenoma炎性纤维性息肉 Inflammatory fibroid polyps胃腺癌 gastric
8、 adenocarcinoma早期胃癌 early gastric cancer进展期胃癌 advanced gastric cancer鲍曼分型 Borrmann classification上皮下肿瘤 subepithelial tumor黏膜下肿瘤 submucosal tumor黏膜下病变 submucosal lesions胃肠道间质瘤 gastrointestinal stromal tumors神经内分泌肿瘤 neuroendocrine tumors类癌 carcinoid tumors淋巴瘤 lymphoma平滑肌瘤 leiomyoma脂肪瘤 lipoma异位胰腺 pancr
9、eatic rest(aberrant pancreas)胃扭转 gastric volvulus四、小肠和大肠美克尔憩室 Meckels diverticulum慢性小肠假性梗阻 chronic small intestinal pseudoobstruction小肠细菌过度生长 small intestinal bacterial overgrowth短肠综合征 short bowel syndrome乳糜泻 celiac disease吸收不良 malabsorptionWhipple病 Whipples disease蛋白丢失性胃肠病 protein-losing gastroente
10、ropathy抗生素相关腹泻 antibiotic-associated diarrhea伪膜性肠炎 pseudomembranous enterocolitis难辨梭菌感染 Clostridium difficile infection炎症性肠病 inflammatory bowel disease克罗恩病 Crohns disease蒙特利尔分类 Montreal classification发病年龄 age of onset (A)A1 16;A2 17-40;A3 40位置 localization(L)末端回肠 terminal ileum(L1)结肠 colon(L2)回结肠 il
11、eocolon (L3)上消化道 upper gastrointestinal (L4)临床行为 behavior(B)非狭窄非穿透型 nonstricturing nonpenetrating(B1)狭窄型 structuring穿透型 penetrating病情严重程度 disease severity缓解期 remission(S0)轻度 mild中度 moderate重度 severe溃疡性结肠炎 ulcerative colitis病变分布 distribution of disease直肠炎型 proctitis左半结肠炎型 left-sided colitis广泛结肠炎型 ext
12、ensive colitis急性肠系膜缺血 acute mesenteric ischemia肠系膜上动脉栓塞 superior mesenteric artery embolus急性肠系膜上动脉血栓形成 acute thrombosis of superior mesenteric artery非闭塞性肠系膜缺血 nonocclusive mesenteric ischemia肠系膜静脉血栓形成 mesenteric venous thrombosis局灶节段性小肠缺血 focal segmental ischemia of the small intestine缺血性结肠炎 ischemi
13、c colitis结肠缺血colon ischemia白塞氏病 Behets disease过敏性紫癜 Henoch-Schnlein purpura阑尾炎 appendicitis结肠憩室 colonic diverticulum结肠憩室病 diverticular disease of the colon憩室炎 diverticulitis憩室出血 diverticular hemorrhage肠易激综合征 irritable bowel syndrome肠梗阻 intestinal obstruction小肠梗阻 small bowel obstruction结肠梗阻 colonic o
14、bstruction麻痹性肠梗阻 ileus假性肠梗阻 pseudo-obstruction巨结肠 megacolon结肠息肉 colonic polyp管状腺瘤 tubular adenoma绒毛状腺瘤 villous adenoma绒毛管状腺瘤 tubulovillous adenoma原位癌 carcinoma in situ黏膜内癌 intramucosal carcinoma侧向发育型肿瘤 lateral(laterally) spreading tumor(LST)锯齿状息肉 serrated polyp增生(化生)性息肉 hyperplastic polyp幼年性息肉 juven
15、ile polypP-J息肉 Peutz-Jeghers polyp炎性息肉 Inflammatory polyp家族性腺瘤息肉病 familial adenomatous polyposis(FAP)错构瘤性息肉病 hamartomatous polyposisP-J综合征 Peutz-Jeghers syndrome幼年性息肉病 Juvenile polyposisCronkhite-Canada 综合征 Cronkhite-Canada syndrome结直肠癌 colorectal cancer早期结肠癌 early colonic caner进展期结肠癌 advanced colon
16、ic cancer痔 hemorrhoids内痔 internal hemorrhoids外痔 external hemorrhoids肛裂 anal fissure肛周脓肿 perianal abscess肛瘘 fistula-in-ano/ anorectal fistula结肠血管扩张 angioectasia of the colon遗传学毛细血管扩张症 hereditary hemorrhagic telangiectasia (Osler-Weber-Rendu disease)五、胰腺急性胰腺炎 acute pancreatitis胆源性胰腺炎 gallstone pancrea
17、titis酒精性胰腺炎 Alcohol-induced pancreatitis轻症 mild中重症 moderately severe重症 severe间质水肿性胰腺炎 interstitial oedematous pancreatitis坏死性胰腺炎 necrotising pancreatitis急性胰周液体积聚 acute peripancreatic fluid collection(APFC)胰腺假性囊肿 pancreatic pseudocyst急性坏死性积聚 acute necrotic collection(ANC)包裹性坏死 walled-off necrosis(WON
18、)感染性坏死 infected necrosis复发性胰腺炎 recurrent pancreatitis慢性胰腺炎 chronic pancreatitis自身免疫性胰腺炎 autoimmune pancreatitisIgG4相关性疾病 IgG4-related disease胰管扩张 pancreatic duct dilation胰腺囊性病变 cystic lesions of the pancreas导管内乳头状粘液瘤 intraductal papillary mucinous neoplasm(IPMN)浆液性囊腺瘤 serous cystic neoplasm粘液性囊腺瘤 mu
19、cinous cystic neoplasm实性假乳头状瘤 solid pseudopapillary tumor胰腺分裂 pancreas divisum胰腺癌 pancreatic cancer壶腹癌 carcinoma of ampulla of vater六、胆道Oddi括约肌功能障碍 sphincter of Oddi dysfunction(SOD)胆石症 gallstone disease胆绞痛 biliary pain急性胆囊炎 acute cholecystitis慢性胆囊炎 chronic cholecystitis胆总管结石 choledocholithiasis 胆管炎
20、 cholangitis化脓性胆管炎 suppurative cholangitisMirizzi综合征 Mirizzis syndrome胆管恶性梗阻 malignant biliary stricture胆管癌 cholangiocarcinoma胆囊癌 gallbladder carcinoma不明原因的胆管狭窄 indeterminate biliary stricture胆管良性狭窄 benign biliary strictures硬化性胆管炎 sclerosing cholangitis原发性硬化性胆管炎 primary sclerosing cholangitis七、肝脏肝硬化
21、 cirrhosis门脉高压 portal hypertension血色病 hemochromatosis肝豆状核变性 Wilson disease病毒性肝炎 viral hepatitis甲型肝炎 hepatitis A乙型肝炎 hepatitis B丙型肝炎 hepatitis C丁型肝炎 hepatitis D戊型肝炎 hepatitis E药物学肝损害 drug-induced liver injury肝脓肿 liver abscess布加综合征 Budd-Chiari syndrome门静脉血栓 portal vein thrombosis肝小静脉闭塞症 hepatic veno-o
22、cclusive disease缺血性肝炎 ischemic hepatitis酒精性肝病 alcoholic liver disease酒精性肝炎 alcoholic hepatitis酒精性肝硬化 alcoholic cirrhosis非酒精性脂肪性肝病 nonalcoholic fatty liver disease自身免疫性肝炎 autoimmune hepatitis原发性胆汁性肝硬化 primary bililary cirrhosis自发性细菌性腹膜炎 spontaneous bacterial peritonitis肝性脑病 hepatic encephalopathy 肝肾综
23、合征 hepatorenal syndrome肝肺综合征 hepatopulmonary syndrome急性肝衰竭 acute liver failure肝细胞癌 hepatocellular carcinoma肝内胆管癌 intrahepatic cholangiocarcinoma肝囊肿 hepatic cysts海绵状血管瘤 cavernous hemangioma八、解剖及内镜术语胃窦 antrum胃体 body贲门 cardia胃底 fundus十二指肠 duodenum肛门 anus直肠 rectum乙状结肠 sigmoid colon降结肠 descending colon横结
24、肠 transverse colon肝曲 hepatic flexure升结肠 ascending colon盲肠 cecum空肠 jejunum回肠 ileum末端回肠 terminal ileum内镜下静脉曲张套扎术 endoscopic variceal ligation内镜下静脉曲张硬化治疗 endoscopic sclerotherapy组织胶治疗 cyanoacrylate injection therapy注射治疗 injection therapy内镜下黏膜切除术 endoscopic mucosal resection(EMR)内镜黏膜下剥离术 endoscopic subm
25、ucosal dissection(ESD)息肉切除术 polypectomy内镜下扩张和支架置入术 endoscopic dilation and stenting(stent placement)经皮内镜下胃造瘘术 percutaneous endoscopic gastrostomy(PEG)经口内镜下肌切开术 peroral endoscopic myotomy(POEM)超声内镜 endoscopic ultrasound(EUS)内镜下逆行胰胆管造影 endoscopic retrograde cholangiopancreatography(ERCP)胶囊内镜 capsule endoscopy双气囊小肠镜 double-balloon endoscope V1.0王晔 2017.2.1
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