经过口腔内镜肌切除术后逆流性食道炎的发生率和预测因素:为期两年的前性研究
Praveer Rai1, Prabhat Kumar Verma2, Ankit Mishra2
1Department of Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, 226014, Uttar Pradesh, India. praveer_rai@yahoo.com.
Digestive diseases and sciences
|February 13, 2026
概括
腹腔内镜肌切除术 (POEM) 对于心脏可以导致胃食道逆流病 (GERD). 目标性GERD在POEM后两年发生的频率高于症状性GERD,大多数病例是轻微的,非酸性.
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
- 胃食道逆流症疾病研究研究
背景情况:
- 口腔内镜肌切除术 (POEM) 是有效的心脏.
- POEM缺乏抗反流机制,增加了GERD的风险.
- 评估GERD发病率和POEM后预测因素至关重要.
研究的目的:
- 为了确定POEM后GERD的两年发病率.
- 为了确定GERD在POEM后发展的预测因素.
- 为了比较客观和症状的GERD病率.
主要方法:
- 在POEM后50名阿喀拉西亚患者的前性研究.
- 通过验证的问卷 (症状) 进行GERD评估.
- 目标使用pH阻抗和食道胃二透镜评估GERD.
主要成果:
- 目标 GERD在42% (pH阻抗) 和14% (内镜) 检测到.
- 在18%的患者中报告了有症状的GERD.
- 大多数GERD病例是轻微的,非侵蚀性和非酸性.
结论:
- 目标性GERD在POEM后两年比症状性GERD更为普遍.
- 在POEM后的GERD发病率与腹腔镜赫勒肌切除术 (LHM) 相当.
- 没有发现症状性GERD的显著预测因素.
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