作为POEM后症状复发的原因,吹出肌瘤:内镜管理
Mónica Ayude Gallego1, Sara Campos Cancela2, Alberto Iglesias Doallo2
1Gastroenterology , Complexo Hospitalario Universitario de Vigo, ESPAÑA.
Revista espanola de enfermedades digestivas
|February 25, 2026
概括
膨胀肌肉切除术 (BOM) 是食道肌肉切除术后的一种罕见并发症,导致食物保留. 这一案例表明,在口腔内镜肌切除术 (POEM) 后,使用前部肌切除术成功治疗了BOM.
科学领域:
- 胃肠病学 胃肠病学
- 手术并发症 手术并发症
- 食道运动障碍 食道运动障碍
背景情况:
- 吹出肌肉切除术 (BOM) 是手术或内镜肌肉切除术的罕见并发症.
- 它表现为食物保留和持续的症状,影响患者的生活质量.
研究的目的:
- 报告一种口腔内镜性肌肉切除术 (POEM) 后的吹出肌肉切除术 (BOM) 病例,该病例是针对III类型的.
- 讨论这种罕见并发症的诊断考虑和成功管理.
主要方法:
- 一名58岁的男性患者患有III型,接受了口腔内镜肌切除术 (POEM).
- 在手术后,他出现了消化不良和反,通过内镜和成像诊断为BOM与伪分歧形成.
- 治疗涉及前部肌肉切除.
主要成果:
- 患者经历了前部肌肉切除后完全和持续的消化不良和反的解决.
- 这表明外科手术对POEM后的BOM的疗效.
结论:
- 在食道肌切除术后出现复发症状的患者中,应考虑吹出肌切除术.
- 内镜治疗,包括前侧肌肉切除,为BOM提供了安全有效的治疗选择.
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