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[贲门失弛缓症的当前管理:批判性综述与临床经验]

[Current management of achalasia of the esophagus: critical review and clinical experience].

作者信息

Braghetto Italo, Csendes Attila, Burdiles Patricio, Korn Owen, Valera José Miguel

机构信息

Departamento de Cirugía y Centro de Gastroenterología, Hospital Clínico José Joaquín Aguirre, Facultad de Medicina, Universidad de Chile.

出版信息

Rev Med Chil. 2002 Sep;130(9):1055-66.

Abstract

The therapeutic options for treatment of Achalasia of the esophagus include medical treatment, endoscopic and surgical procedures. The latter can be either conservative, such as cardiomyotomy or more aggressive, such as cardioplasty or esophageal resection. In this article, we discuss the early and long term results after the different therapeutic options. We also present the results of our recent surgical experience. The definitive results seem to be better after surgical treatment compared to medical management or endoscopic procedures.

摘要

食管贲门失弛缓症的治疗选择包括药物治疗、内镜治疗和外科手术。后者可以是保守的,如贲门肌切开术,也可以是更激进的,如贲门成形术或食管切除术。在本文中,我们讨论了不同治疗选择后的早期和长期结果。我们还展示了我们最近手术经验的结果。与药物治疗或内镜治疗相比,手术治疗后的最终结果似乎更好。

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