Tao Jie, Patel Vaishali, Mekaroonkamol Parit, Luo Hui, Li Baiwen, Guan Qunye, Shen Shanshan, Chen Huimin, Cai Qiang
Division of Digestive Disease, Emory University School of Medicine, 1365 Clifton RD NE, Suite B 1262, Atlanta, GA 30322, USA; Department of Hepatobiliary Surgery, The First Affiliated Hospital of Xi'an Jiaotong University, 227 Yanta West Road, Xi'an 710061, China.
Division of Digestive Disease, Emory University School of Medicine, 1365 Clifton RD NE, Suite B 1262, Atlanta, GA 30322, USA.
Gastrointest Endosc Clin N Am. 2019 Jan;29(1):117-126. doi: 10.1016/j.giec.2018.08.012.
Gastric peroral endoscopic pyloromyotomy (G-POEM or POP) is a feasible and effective procedure for the treatment of refractory gastroparesis. G-POEM is a technically demanding endoscopic procedure. As of yet, there is no consensus on the technique. A variety of techniques have been reported in published studies. The essential technical steps of the procedure are (1) establishment of submucosal tunnel in gastric antrum, (2) identification of the pyloric muscular ring, (3) selective circular myotomy, and (4) a 2.5-cm to 3.0-cm length of myotomy. There are still some technical questions unanswered, and more studies are needed to establish standardized techniques and possible improvement of outcomes.
经口内镜下幽门肌切开术（G-POEM或POP）是治疗难治性胃轻瘫的一种可行且有效的手术。G-POEM是一项对技术要求较高的内镜手术。截至目前，关于该技术尚无共识。已发表的研究报告了多种技术。该手术的基本技术步骤为：（1）在胃窦建立黏膜下隧道；（2）识别幽门肌环；（3）选择性环形肌切开；（4）肌切开长度为2.5厘米至3.0厘米。仍有一些技术问题未得到解答，需要更多研究来建立标准化技术并可能改善治疗效果。
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