膜分泌管:分泌管外耳内镜肌切除术 (D-POEM) 是足够的还是我们需要向前迈出一步?
David Barquero Declara1, Alba Juan Juan2, Noemí Caballero Suárez2
1Gastroenterology, Hospital de Sant Joan Despí Moisès Broggi, España.
Revista espanola de enfermedades digestivas
|September 19, 2024
概括
椎口腔内镜肌切除术 (D-POEM) 是一种潜在的治疗方法,用于症状性突 (ED),特别是在伴随着食道运动障碍时. 本综述检查了9名患者的D-POEM结果.
科学领域:
- 胃肠病学 胃肠病学
- 胃肠内镜检查 胃肠内镜检查
- 食道手术 食道手术
背景情况:
- 腹分泌器 (ED) 是食道的罕见外囊.
- 症状性ED往往表现为消化不良和反,显著影响生活质量.
- 食道运动障碍经常与ED并存,使治疗策略复杂化.
研究的目的:
- 为了评估分离性门内镜肌切除术 (D-POEM) 对症状性发性分离体 (ED) 的疗效和结果.
- 评估D-POEM对患者症状和生活质量的影响.
- 探索D-POEM在患有同时存在食道运动障碍的患者中的作用.
主要方法:
- 在2020年7月至2024年4月期间,对9名患者进行了D-POEM治疗症状性ED的回顾性审查.
- 使用埃卡特评分 (ES) 评估手术前后症状,包括食障碍和反.
- 所有患者同时存在的食道运动障碍的记录.
主要成果:
- 9名患者 (44.4%为女性,平均年龄为67.7岁) 接受了D-POEM治疗症状性ED.
- 主要症状包括消化不良和反,平均手术前ES为6.
- 大多数 (88.9%) 患者同时患有食道运动障碍.
结论:
- D-POEM是一种可行的内镜治疗方案,用于症状性发性分泌体.
- 该程序似乎有效地缓解与ED相关的消化不良和反.
- 在患有ED和并发性食道运动障碍的患者中,D-POEM可能特别有益.
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