Allaix Marco E, Patti Marco G
Department of Surgical Sciences, University of Torino, Corso A. M. Dogliotti 14, Torino 10126, Italy.
Center for Esophageal Diseases, Department of Surgery, University of Chicago Pritzker School of Medicine, 5841 South Maryland Avenue, MC 5095, Room G-207, Chicago, IL 60637, USA.
Surg Clin North Am. 2015 Jun;95(3):567-78. doi: 10.1016/j.suc.2015.02.009.
At present, LHM with partial fundoplication is considered the gold standard for the treatment of patients with esophageal achalasia. Endoscopic procedures such as EBTI and PD should be considered as primary treatment modalities only in frail patients. POEM is a new approach with promising short-term results.
目前，部分胃底折叠术的经胸腹腔镜食管肌层切开术被认为是治疗贲门失弛缓症患者的金标准。内镜手术如内镜下肉毒素注射和经皮球囊扩张术仅应在身体虚弱的患者中作为主要治疗方式。经口内镜下肌切开术是一种新方法，短期效果良好。
