口腔内镜肌瘤术后常规食道镜的临床影响:系统性审查和元分析
Ernesto Robalino Gonzaga1, Saurabh Chandan2, Abdullah Abbasi2
1Gastroenterology, AdventHealth Medical Group, Orlando, Florida, USA.
Gastrointestinal endoscopy
|October 11, 2025
概括
在口腔内镜肌切除术 (POEM) 后的常规食道图很少改变无症状患者的管理. 食道泄漏不常见,这表明选择性成像可能更有效.
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
- 放射学 放射学是一门学科.
背景情况:
- 口腔内镜肌切除术 (POEM) 是食道运动障碍的关键治疗方法.
- 常规的POEM后食道图是常见的,但它们的临床实用性仍在争论中.
- 这项研究评估了例行食道图在POEM后无症状患者的影响.
研究的目的:
- 在无症状患者中评估POEM后常规食道图的临床影响.
- 确定POEM后食道泄漏和其他不良事件 (AE) 的发生率.
- 为了评估常规成像检查发现的频率如何改变即时的术后管理.
主要方法:
- 系统审查和对研究的元分析,截至2024年11月.
- 主要结局:内壁和外壁食道泄漏的发生率.
- 二次结果:X光学发现和管理变化,使用随机效应模型进行分析.
主要成果:
- 分析了14项涉及2153名患者的研究 (90.6%的阿喀拉西亚).
- 聚合的食道泄漏率:室内2.3%,室外1.4%.
- 常规成像很少改变管理 (3.4%),尽管有常见的发现,如肺 (42.0%).
结论:
- 食道泄漏是POEM后的罕见并发症.
- 常规食道图对无症状患者的立即术后护理的影响有限.
- 选择性成像可以提高诊断产量,成本效益,并减少不必要的测试.
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