通过GERDx系统成功进行内镜全厚接,首次报告在袖子胃切除术后治疗耐火性GERD
Adeeb M Elghalayini1, Roaa Joudah1, Lenah S Binmahfouz2
1Gastroenterology and Endoscopy Unit, International Medical Center, Jeddah, Saudi Arabia.
ACG case reports journal
|February 27, 2026
概括
内镜全厚复合 (eFTP) 在袖子胃切除术 (SG) 后成功治疗了耐火性胃食道逆流症 (GERD). 这种最少的侵入性方法解决了症状,并允许在SG后的患者中断药物治疗.
科学领域:
- 胃肠病学 胃肠病学
- 最少侵入性的手术
背景情况:
- 胃食道逆流性疾病 (GERD) 是袖子胃切除术 (SG) 后的一个常见并发症.
- 质子抑制剂 (PPI) 治疗对于耐火性GERD通常是不够的,因为SG后的解剖学变化.
- 内镜全厚复合 (eFTP) 是一种潜在的治疗方法,但其在SG后的可行性是不确定的.
研究的目的:
- 报告GERDx eFTP在经过袖子胃切除术后患有耐火性GERD的患者中的第一个病例.
- 评估eFTP在这个特定患者群体中的技术可行性和有效性.
主要方法:
- 一名40岁的女性患者有6年的严重GERD后SG病史,接受了评估.
- 该患者最大PPI疗法失败,并出现了滑动性缺口和病理性酸暴露.
- GERDx eFTP是作为一种微创内镜手术进行的.
主要成果:
- 在技术上,eFTP程序是可行的,并且在没有并发症的情况下完成.
- 患者在手术后一周内经历了GERD症状的完全消失.
- 患者在三个月的随访后成功停止了PPI治疗.
结论:
- GERDx eFTP在经过精心挑选的经过SG的耐火性GERD患者中是技术上可行的.
- 这种最少的侵入性方法提供了一个潜在的解决方案,用于GERD耐药的医疗管理后SG.
- 需要进一步的研究来证实eFTP在这个患者群体中的长期疗效和安全性.
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