经过口腔内镜肌切除术后的胃食道逆流:管理文献
Ahmed Tawheed1, Ibrahim Halil Bahcecioglu2, Mehmet Yalniz2
1Department of Endemic Medicine, Faculty of Medicine, Helwan University, Cairo 11795, Egypt.
World journal of gastroenterology
|July 1, 2024
概括
胃食道逆流 (GER) 是一个已知的风险后口腔内镜肌肉切除术 (POEM) 对于,但诊断标准仍然不清楚. 需要进一步研究将POEM与基金复制结合起来,以有效管理GER.
科学领域:
- 胃肠病学 胃肠病学
- 内視鏡外科手術 內視鏡外科手術
背景情况:
- 口腔内镜肌切除术 (POEM) 是治疗阿喀拉西亚的主要疗法,具有安全性和有效性.
- 胃食道逆流 (GER) 是POEM后的一个公认的不良影响,影响患者的生活质量.
研究的目的:
- 为了解决GER在POEM之后的诊断模两可.
- 审查POEM GER后的预测因素和潜在的管理策略.
主要方法:
- 编辑回应了一篇关于POEM和GER的评论文章.
- 对关于GER发病率,预测因素和治疗的现有文献进行分析.
主要成果:
- 在POEM后的GER诊断标准缺乏明确性,酸暴露和症状反流之间存在差异.
- 确定的患者 (年龄,性别,肥胖,LES压力) 和程序 (骨髓切割长度) 风险因素对GER.
- 质子抑制剂是目前GER的主要治疗方法.
结论:
- 需要进一步调查以澄清POEM后的GER诊断.
- 结合POEM和内镜基复合技术,需要对长期安全性和有效性进行更多研究.
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