23.Esophageal motility disorders是導因於esophageal neuromuscular dysfunction,關於不同的 esophageal motility disorders,下列敘述何者正確?
(A)achalasia病因是loss of ganglion cells within the esophageal myenteric plexus,臨床罕見,發生率約為1/100,000,好發於60~80歲年邁族群
(B)eosinophilic esophagitis的臨床表徵是episode of dysphagia and chest pain,在X光攝影下可 能呈現corkscrew esophagus、rosary bead esophagus、pseudodiverticula
(C)diffuse esophageal spasm的發生率逐年增加,其食道切片檢查可發現squamous epithelial eosinophil-predominant inflammation,其對口服類固醇的效果良好
(D)gastroesophageal reflux disease為相當盛行的文明病,其致病機轉包括transient lower esophageal sphincter(LES)relaxation、LES hypotension、anatomical distortion
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統計: A(3), B(11), C(6), D(84), E(0) #3468131
統計: A(3), B(11), C(6), D(84), E(0) #3468131