消化肝病前沿资讯
老龚_cn介绍消化肝病专业国内外前沿资讯，定期更新。适合关注和从事消化肝病领域的专业技术人员利用通勤和休闲时间收听。
| Publishes | Daily | Episodes | 173 | Founded | 3 months ago |
|---|---|---|---|---|---|
| Language |  ZH-CN | Number of Listeners | Categories | Alternative HealthScienceLife SciencesHealth & Fitness |
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Latest Episodes
本期聚焦2025版肝硬化门脉高压出血专家共识，系统解析其优化后的诊断流程、CSPH四条判断标准及替代肝静脉压力梯度的LSM应用，详述出血风险预测、分层内镜监测与“预防-急救-再预防”三步治疗策略，并强调MDT协作与个体化方案，助力临床精准救治、降低病死率。
00:06
共识亮点与CSPH诊断优化
00:50
CSPH四条标准与LSM新应用
02:05
出血风险预测与MELD评估
03:01
内镜分层监测方案解析
04:04
出血预防三级策略详解
05:12
静脉曲张内镜治疗要点
06:10
急性... more
本期播客聚焦美国胃肠病学会2026年痔疮临床实践更新指南，打破“痔疮需去肛肠科”等常识，详解诊断靠病史与体检、分级及血栓剧痛特点，强调肛门镜必要性。介绍从生活方式调整到橡皮圈结扎等阶梯疗法，提示皮质类固醇使用时限、盆腔脓毒症风险，还覆盖孕妇、肝硬化等特殊人群注意点，帮听众科学看待痔疮，早诊早治不尴尬。
00:06
指南颠覆痔疮诊疗常识
00:51
简单检查可诊断痔疮症状
01:59
饮食与坐浴辅助保守治疗
02:33
外用药膏证据有限需慎用
03:12
微创疗法安全且适用1-3级
03:48
微... more
本期聚焦GLP-1类药物停药后体重反弹难题，解析十二指肠黏膜改变的核心机制，介绍达特茅斯大学突破性的“十二指肠黏膜重塑术”——通过水热消融修复受损黏膜，重置代谢调控枢纽。结合REMAIN-1临床试验数据，展现其能保留超80%减重成果、安全性高且效果随时间增强的优势，为停药患者提供不依赖药物的持久维稳方案，或改写减重治疗格局。
00:06
GLP-1停药反弹与黏膜机制
01:06
DMR原理：修复而非掩盖问题
02:05
REMAIN-1试验设计与减重效果
02:54
DMR组反弹率远低于对照组 more
本期播客聚焦DDW 2026公布的日本重磅研究，对比传统ESD与新型ESMR-L技术治疗10毫米以下直肠神经内分泌肿瘤的成效。通过贴纸比喻通俗讲解原理，解析二者在R0切除率、手术时间、费用、专家与非专家应用差异及安全性等核心数据，指出ESMR-L高效经济且降低技术门槛，适用于基层，同时客观说明局限性与未来研究方向，为患者与医疗系统带来新希望。
00:06
直肠NET内镜治疗引关注
01:06
两技术比喻与切除率对比
02:12
手术时间与费用优势显著
03:20
非专家应用优势更突出
04:16... more
本期播客聚焦肠道标志物FIT、钙卫蛋白等在临床的常见困惑，解析不同标志物的证据等级、适用场景与阈值选择，澄清“两阴一阳”等流行误区，强调合理组合与解读的重要性，并提供清晰的慢性症状及IBD患者的临床路径，帮助医生减少不必要检查、优化诊疗决策。
00:06
患者常问FIT与钙卫蛋白选哪个
00:28
按证据分黄金待验证不推荐三类
01:56
FIT阈值可调依结肠镜资源而定
02:56
FIT定位出血部位是常见误解
04:13
FIT应用三要点及勿信两阴一阳
05:42
钙卫蛋白区分IBD与IBS金... more
本期播客聚焦临床常见的腹痛、腹泻排查难题，详解粪钙卫蛋白这一“炎症信号兵”的原理与应用。从检测差异、日间变异到“50和150法则”，再到IBD患者的活动度评估、黏膜愈合及停药决策，结合指南与研究数据，帮医生精准判断、患者减少不必要肠镜痛苦，用客观指标优化肠道健康管理。
00:06
门诊困境与粪钙卫蛋白登场
00:51
粪钙卫蛋白原理与检测差异
02:00
数值升高未必是IBD的原因
03:05
综合判断与成人管理前提
03:57
50和150法则筛查解读
04:48
确诊IBD后的三大应用方向 more
本期播客聚焦塑料降解产生的微塑料与纳米塑料，揭示其通过饮食、呼吸进入人体，干扰肠道菌群平衡，与炎症性肠病等疾病相关。探讨日常接触来源、瓶装水风险、职业暴露危害及潜在致癌机制，并给出减少暴露、保护肠道的建议。节目结合研究与生活实例，呼吁提升认知，用科学方式降低健康风险。
00:06
塑料降解成微塑料入侵人体
00:49
微塑料扰乱菌群或致IBD发生
01:58
日常塑料制品是主要接触源
02:45
瓶装水饮用量与微塑料相关
03:38
职业暴露加重肠道微塑料负担
04:17
微塑料关联多类疾病风险... more
本期播客围绕内镜手术中的电外科技术展开，从高频电流切凝原理、电流密度与器械选择，到能量设置、组织电阻影响及智能设备优势，系统解读AGA指南核心建议。还涵盖双极/单极安全差异、APC等特殊技术、第三空间手术难点、术前timeout核对、个体化边缘消融及水下手术风险等内容，强调理解物理原理是安全有效操作的基础，助临床医生提升认知与实践水平。
00:06
内镜电外科技术引话题
00:32
电流密度决定切凝效果
01:42
能量设置多因素影响析
02:50
电阻变化与智能电刀优势
04:09
APC与第... more
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Apple Podcasts | #62 |  Hong Kong/Science/Life Sciences |
Apple Podcasts | #75 | China/Science/Life Sciences |
Apple Podcasts | #77 |  Poland/Science/Life Sciences |
Apple Podcasts | #159 |  Taiwan/Science/Life Sciences |
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消化肝病前沿资讯 launched 3 months ago and published 173 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.
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