抗逆流性粘膜切除术:我们的经验和对未来的想法
Jean-Christophe N Rwigema1, Michael B Ujiki2
1Department of Surgery, Endeavor Health, Evanston, IL, 60201, USA.
Current gastroenterology reports
|July 11, 2025
概括
抗逆流性粘膜切除术 (ARMS) 为耐火性GERD患者提供了一个不那么侵入性的选择. 这种内镜手术的安全性和疗效与抗逆流体手术相提并论,恢复时间有所改善.
科学领域:
- 胃肠病学 胃肠病学
- 内镜治疗药物 内镜治疗药物
- 胃食道逆流性疾病 (GERD) 管理管理
背景情况:
- 胃食道逆流性疾病 (GERD) 是常见的,许多患者对药物无反应.
- 抗反流性手术 (ARS) 是有效的,但由于患者和提供者的不情愿,经常避免.
- 对于耐火性GERD,需要更少的侵入性内镜选择.
研究的目的:
- 审查对抗逆流切除术 (ARMS) 的机构经验.
- 讨论内镜抗反流程序的技术变化和未来方向.
- 评估ARMS作为耐火性GERD治疗ARS的替代方案.
主要方法:
- 对接受ARMS的患者临床结果的审查.
- 将ARMS与传统ARS进行比较.
- 讨论相关的内镜技术:粘膜切除,帽子辅助切除,口腔内镜心脏收缩,切除和复制.
主要成果:
- 修改后的蝶形 ARMS 改善了消化不良,减少了住院时间,并使得恢复速度更快.
- 生活质量结果与ARS相当.
- 在各种ARMS技术和相关的内镜程序中观察到类似的安全性和有效性概况.
结论:
- 对于精选的GERD患者来说,ARMS及其变体是安全有效的内镜替代品.
- 这些微创手术为那些不愿接受医疗治疗的人提供了可行的选择.
- 对内镜抗反流治疗的进一步研究是有必要的.
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