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环咽肌切开术和幽门肌切开术的内镜治疗方法

Endoscopic Approaches to Cricopharyngeal Myotomy and Pyloromyotomy.

作者信息

Jackson Anee Sophia, Aye Ralph W

机构信息

Division of Thoracic Surgery, Swedish Cancer Institute, 1101 Madison Street, Suite 900, Seattle, WA 98104, USA.

Thoracic Oncology, Advanced GI, Thoracic Fellowships, Division of Thoracic Surgery, Swedish Cancer Institute, 1101 Madison Street, Suite 900, Seattle, WA 98104, USA.

出版信息

Thorac Surg Clin. 2018 Nov;28(4):507-520. doi: 10.1016/j.thorsurg.2018.06.003.

DOI:10.1016/j.thorsurg.2018.06.003
PMID:30268296
Abstract

Endoscopic cricopharyngeal myotomy has been demonstrated to be a safe and efficacious procedure with favorable outcomes for the treatment of cricopharyngeal dysfunction with or without Zenker diverticulum. It is a less invasive approach with decreased morbidity compared with the open approach and minimal reported complications. Peroral endoscopic pyloromyotomy is a novel technique for the treatment of gastroparesis. It has shown promising results in terms of its safety, complication profile, and symptom improvement in a minimally invasive approach that is appealing to many patients. As further data emerge on the technique, long-term efficacy of the procedure will be better understood.

摘要

内镜下环咽肌切开术已被证明是一种安全有效的手术方法,对于治疗伴有或不伴有Zenker憩室的环咽肌功能障碍均有良好效果。与开放手术相比,它是一种侵入性较小的方法,发病率较低,且报道的并发症极少。经口内镜幽门肌切开术是一种治疗胃轻瘫的新技术。在安全性、并发症情况以及症状改善方面,它以微创的方式取得了令人鼓舞的结果,吸引了许多患者。随着该技术的更多数据出现,其长期疗效将得到更好的理解。

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