传统的隔膜切除术或Z-POEM用于Zenker的分离器
M F Kaminski1, A Budnicka2, A Przybysz3
1Department of Gastroenterology, Hepatology and Oncology, Medical Center for Postgraduate Education, Warsaw, Poland; Department of Gastroenterological Oncology, Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Warsaw, Poland; Clinical Effectiveness Research Group, University of Oslo, Oslo, Norway; Department of Surgical Oncology Medical University of Gdansk, Gdansk, Poland.
Best practice & research. Clinical gastroenterology
|August 29, 2024
概括
禅克的分歧器 (ZD) 是一个喉外囊,经过微创内镜肌切除术治疗. 灵活的内镜隔膜切除术 (FES) 和Zenker口腔内镜肌切除术 (Z-POEM) 是有效的,结果受技术和分离体大小的影响.
科学领域:
- 胃肠病学和内镜检查
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术创新 在外科创新.
背景情况:
- 禅克的分离体 (ZD),或cricopharyngeal袋,是一个pharyngoesophageal伪分离体.
- 病理生理学涉及到cricopharyngeal功能障碍导致失消,反,和其他症状.
- 传统上,有症状的ZD需要进行cricopharyngeal肌肉骨髓切除.
研究的目的:
- 为了审查和比较Zenker的分歧管治疗的内镜技术.
- 分析灵活内镜隔膜切除术 (FES) 和Zenker口腔内镜肌切除术 (Z-POEM) 的临床结果.
- 根据临床情景和分泌管大小指导治疗选择.
主要方法:
- 对FES和Z-POEM用于Zenker的分离器的当前文献的综述.
- 在FES.技术变化的分析.
- 评价Z-POEM的有效性和分泌管大小对结果的影响.
主要成果:
- 像FES和Z-POEM这样的内镜技术是ZD最喜欢的最少入侵的选择.
- 在FES技术中存在变化;Z-POEM证明了有效性.
- 体大小会影响治疗结果,影响FES和Z-POEM之间的选择.
结论:
- FES和Z-POEM为Zenker的分离器提供了有效的,最少侵入性的治疗方法.
- 在FES和Z-POEM之间做出选择取决于特定的临床因素和分泌体特征.
- 进一步分析技术变化和取决于大小的结果对于优化ZD管理至关重要.
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