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在阿喀拉西亚治疗后导航反流病:平衡风险和益处
Ewen A Griffiths1,2, Enoch Wong1
1Department of Upper Gastrointestinal Surgery, University Hospitals Birmingham NHS Foundation Trust, Birmingham B15 2GW, West Midlands, United Kingdom.
World journal of gastroenterology
|June 20, 2024
概括
口腔内镜肌切除术 (POEM) 有效地治疗了阿喀拉西亚失足症. 然而,管理POEM后胃食道逆流性疾病仍然是一个挑战,需要仔细选择患者并讨论治疗选择.
科学领域:
- 胃肠病学 胃肠病学
- 最少侵入性的手术
- 食道疾病 食道疾病
背景情况:
- 口腔内镜肌切除术 (POEM) 是一种领先的轻微侵入性治疗 achalasia,显著改善食障碍.
- 手术后胃食道逆流病 (GERD) 是POEM的一个显著并发症,影响患者的治疗结果.
- 目前对POEM后GERD的管理策略需要进一步改进和全面理解.
结论:
- 虽然POEM对阿喀拉西亚非常有效,但解决GERD对于最佳的患者护理至关重要.
- 对POEM和手术选择进行均衡的讨论,包括各自的风险和益处,至关重要.
- 需要进一步的研究和标准化的协议,以便在POEM后有效地管理GERD.
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