Chung Hyunsoo, Khashab Mouen A
Department of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, Seoul, Korea.
Department of Medicine and Division of Gastroenterology and Hepatology, Johns Hopkins Hospital, Baltimore, MD, USA.
Clin Endosc. 2018 Jan;51(1):28-32. doi: 10.5946/ce.2018.001. Epub 2018 Jan 31.
Gastroparesis (GP) is a syndrome characterized by delayed gastric emptying in the absence of mechanical obstruction of the stomach or proximal small bowel. Currently available dietary and medical therapies are limited and have suboptimal efficacy. Pylorus-directed therapies have showed promising results. Gastric peroral endoscopic myotomy (G-POEM) has been reported for the treatment of GP refractory to standard therapy with promising results. This article reviews the current applications and results of G-POEM for the treatment of refractory GP.
胃轻瘫（GP）是一种综合征，其特征为在不存在胃或近端小肠机械性梗阻的情况下胃排空延迟。目前可用的饮食和药物治疗有限且疗效欠佳。针对幽门的治疗已显示出有前景的结果。经口内镜下幽门肌切开术（G-POEM）已被报道用于治疗对标准治疗无效的胃轻瘫，结果令人鼓舞。本文综述了G-POEM在治疗难治性胃轻瘫方面的当前应用和结果。
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