开放Zenker的口腔内镜肌肉切除:一种新技术的技术和临床结果 (附视频)
Farimah Fayyaz1, Gaurav Patil2, Harjot K Bedi1
1Johns Hopkins Medicine, Baltimore, Maryland, USA.
Gastrointestinal endoscopy
|March 2, 2025
概括
开放Zenker的口腔内镜肌切除术 (OZ-POEM) 为Zenker的分离器提供了一种安全有效的治疗方法,消除了粘膜关闭的需要,并显示出低复发率.
科学领域:
- 胃肠病学 胃肠病学
- 手术创新 在外科创新.
- 内镜手术 进行内镜手术
背景情况:
- 禅克的口腔内镜肌切除术 (Z-POEM) 是有效的,但可以面对残留的粘膜和关闭的挑战.
- 为了解决这些局限性,引入了一种修改后的方法,Open Z-POEM (OZ-POEM).
研究的目的:
- 评估新型开放Z-POEM (OZ-POEM) 程序的临床成功,安全性和可行性.
- 评估OZ-POEM对Zenker分歧管患者的症状复发和不良事件的影响.
主要方法:
- 一个回顾性观察研究,对53名患有Zenker's转管的患者进行了OZ-POEM.
- 评估结果包括临床成功 (Kothari-Haber分数3),技术成功,复发率和不良事件.
主要成果:
- 在技术上,OZ-POEM取得了100%的成功,平均处理时间为19分钟.
- 观察到显著的症状改善 (中位数Kothari-Haber得分从7下降到1).
- 据报道,中度 (1.9%) 和严重 (1.9%) 的不良事件发生率较低,复发率为3.8%.
结论:
- 开放式Z-POEM (OZ-POEM) 是一种可行的,安全和高效的内镜手术,用于Zenker的分离器.
- 这种技术涉及广泛的粘膜切除,没有关闭,似乎有助于低复发率.
- 需要进一步的前性比较研究来验证这些发现.
相关概念视频
Endoscopic Procedures V: ERCP
54
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
54
Endoscopic Procedures I: Esophagogastroduodenoscopy
51
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
51
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
161
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
161
Barrett Esophagus-II: Clinical Manifestations and Management
93
Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
93
Endoscopic Procedures III: Video Capsule Endoscopy
66
Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
66
Esophageal Perforation-II: Clinical Manifestations and Management
31
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
31


