门内镜性肌肉切除与 fundoplication (POEM-F) 的阿喀拉西亚:系统性审查和元分析
相关实验视频
Updated: May 21, 2025

11:19
Robotic Myotomy and Partial Fundoplication for Achalasia
Published on: August 11, 2023
1.4K
Harishankar Gopakumar1,2, Eugene Annor2, Ishaan Vohra3
1Gastroenterology and Hepatology, OSF Saint Joseph Medical Center, Bloomington, United States.
Endoscopy international open
|March 20, 2025
概括
在口腔内镜肌切除术 (POEM) 后,POEM-F有效地减轻胃食道逆流 (GER),成功率高. 这种NOTES程序对管理GER并发症有前途,尽管需要进一步标准化.
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
- 胃食道逆流性疾病 (GERD) 是一种疾病.
背景情况:
- 胃食道逆流 (GER) 和其后果是口腔内镜肌切除术 (POEM) 后的重大问题.
- 具有基金复制的POEM (POEM-F) 提供了同时使用NOTES的方法来解决POEM后的GER.
研究的目的:
- 评估POEM-F在缓解POEM后的GER中的有效性和安全性.
- 评估POEM-F用于管理POEM后GER的技术和临床成功率.
主要方法:
- 从2008年1月到2024年6月进行了全面的电子数据库搜索.
- 随机效应模型被用于计算聚合比例,使用I2和Q统计数据评估异质性.
主要成果:
- 分析了包括127名患者在内的7项研究.
- 聚合的技术成功率为POEM的96.90%和基金复制的92.30%.
- 在缓解GER方面,POEM-F的综合临床成功率为86.20%,主要不良事件发生率为3.60%.
结论:
- 在经验丰富的手中,POEM-F是一种有效的程序,具有可接受的不良事件率.
- 该技术在缓解POEM后的GER方面证明了临床益处.
- 进一步标准化评估临床显著的GER和长期益处是有必要的.
相关概念视频
Peptic Ulcer Disease V: Surgical Management and Nursing Care
186
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
186
Gastroesophageal Reflux Disease II: Clinical Features and Management
42
Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
42
Endoscopic Procedures I: Esophagogastroduodenoscopy
46
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:
46
Endoscopic Procedures V: ERCP
51
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...
51
Barrett Esophagus-II: Clinical Manifestations and Management
91
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...
91
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
38
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
38

