May A
Bereichsleitung Gastroenterologie, Sana Klinikum Offenbach GmbH, Starkenburgring 66, 63069, Offenbach am Main, Deutschland.
Internist (Berl). 2016 Aug;57(8):740-7. doi: 10.1007/s00108-016-0089-8.
The esophagus is one of the areas of the gastrointestinal tract, for which therapeutic concepts have changed the most over the last two decades. The most decisive advance is the development of endoscopic resection techniques for early esophageal carcinomas. These methods provide excellent short- and long-term results combined with very low morbidity and negligible mortality rates in comparison with surgical esophagectomy, especially in case of mucosal Barrett's adenocarcinoma. In addition, the endoscopic myotomy techniques in Zenker's diverticulum and spastic achalasia are new, attractive endoscopic treatment modalities.
食管是胃肠道的一部分，在过去二十年里，针对该部位的治疗理念发生了最大的变化。最具决定性的进展是早期食管癌内镜切除技术的发展。与手术食管切除术相比，这些方法具有出色的短期和长期效果，发病率极低，死亡率可忽略不计，尤其是对于黏膜巴雷特腺癌。此外，针对Zenker憩室和痉挛性贲门失弛缓症的内镜下肌切开术是新型且有吸引力的内镜治疗方式。
