胃外口内镜肌切除术改善了耐火性胃衰竭患者的慢性腹
Maxime Jaccard1, Mariola Marx1, Elodie Romailler1
1Department of Gastroenterology and Hepatology, CHUV, Lausanne, Switzerland (Maxime Jaccard, Mariola Marx, Elodie Romailler, Meddy Dalex, Marie Phillipart, Sébastien Godat).
Annals of gastroenterology
|May 15, 2025
概括
在大多数患者中,胃外口内镜肌切除术 (G-POEM) 有效地治疗了耐火性胃衰竭和改善了肠道运动不规则. 这种内镜手术使81%的患者的便频率正常化,为患者提供了新的治疗途径.
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
- 消化系统运动障碍 消化系统运动障碍
背景情况:
- 胃衰竭的症状包括过早的腹,恶心,吐和胀气.
- 一些胃衰竭患者同时经历慢性便秘或腹.
- 耐火性胃衰竭是一个重大的临床挑战.
研究的目的:
- 评估胃口腔内镜肌切除术 (G-POEM) 对耐火性胃衰竭和改变肠道频率的患者的影响.
- 评估G-POEM在治疗胃衰竭患者同时出现的慢性腹或便秘方面的疗效.
- 为了确定G-POEM对这一特定患者亚组的安全性和有效性.
主要方法:
- 用G-POEM治疗的耐火性胃衰竭和改变肠道频率的患者的回顾性分析.
- 研究期:2019年1月至2023年10月.
- 纳入标准:耐火性胃衰竭与慢性腹/便秘,G-POEM治疗和随访.
主要成果:
- 在107名胃衰竭患者中,11.3%的患者同时出现了肠道排便频率的改变.
- G-POEM在技术上是可行的,没有任何不良事件.
- 81%的患者取得了临床成功,81%的患者经历了G-POEM后肠道运动的正常化.
结论:
- 胃口内视镜肌切除术 (G-POEM) 是一种安全有效的耐火性胃衰竭治疗方法.
- 在胃衰竭患者中,G-POEM可以显著改善或解决同时出现的慢性腹.
- 内镜治疗提供了一个可行的选择,用于管理肠道功能障碍的复杂胃衰竭.
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