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胃食道逆流性疾病的内镜管理选项
Bhavana Sreepad1, Karteek Chennupati2, Muhammad Shehroz Zeeshan2
1Medical School, TCU Burnett School of Medicine, Fort Worth, USA.
Cureus
|July 11, 2024
概括
内镜治疗为治疗胃食道逆流症 (GERD) 提供了一种最小侵入性的替代方案. 本综述涵盖了内镜GERD治疗的患者选择,技术和结果,包括射频和跨口无切口基复合 (TIF).
科学领域:
- 胃肠病学 胃肠病学
- 最少侵入性的手术
- 内镜治疗药物 内镜治疗药物
背景情况:
- 胃食道逆流性疾病 (GERD) 很常见,可能导致严重的并发症.
- 像质子抑制剂 (PPI) 这样的传统治疗有潜在的长期副作用.
- 对于GERD的手术选择是侵入性的,并带有风险.
研究的目的:
- 审查目前GERD的内镜治疗选择.
- 讨论患者选择,程序技术和这些微创疗法的结果.
- 评估内镜治疗在改善生活质量和减少防护剂使用方面的有效性.
主要方法:
- 关于内镜GERD治疗的已公布数据的审查.
- 讨论手术前工作和患者选择标准.
- 对手术技术的分析,包括射频治疗和跨口腔无切口 fundoplication (TIF).
主要成果:
- 像射频和TIF这样的内镜治疗是FDA批准的,并且越来越多的保险覆盖.
- 这些微创的选择提供了长期药物治疗或侵入性手术的替代方案.
- 已发表的数据表明,在改善GERD症状和生活质量方面,短期和长期都取得了成功.
结论:
- 内镜疗法代表了GERD管理的重大进步.
- 仔细选择患者和了解技术对于成功的结果至关重要.
- 进一步的研究支持内镜治疗在减少依赖PPI和改善患者福祉方面的作用.
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