• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

高压策略：震碎食管——诊断容易治疗难。

High-Pressure Tactics: Jackhammer Esophagus-Diagnosing Is Easier than Treating.

机构信息

Division of General and Foregut Surgery, Department of Biomedical Sciences for Health, IRCCS Policlinico San Donato, University of Milan, Milan, Italy.

Department of General and Foregut Surgery, I.R.C.C.S. Policlinico San Donato, University of Milan, Piazza Malan 1, San Donato Milanese, 20097, Milan, Italy.

出版信息

Dig Dis Sci. 2022 Apr;67(4):1200-1203. doi: 10.1007/s10620-021-07279-6. Epub 2021 Oct 21.

DOI:10.1007/s10620-021-07279-6
PMID:34674073
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8529866/
Abstract

Diagnosis of esophageal disorders is well ahead of available treatment options. With HRM, for example, one can identify numerous conditions and their variants, which may lose meaning if the clinical and therapeutic implications of these subclassifications are limited. We report an exemplary case of a patient with hiatal hernia complaining of reflux, dysphagia, and chest pain refractory to medical treatment. Jackhammer esophagus was diagnosed and a hybrid approach consisting of POEM and concomitant crural repair and Dor fundoplication is proposed.

摘要

食管疾病的诊断远远领先于现有治疗选择。例如，通过高分辨率测压（HRM），可以识别出许多病症及其亚型，但如果这些亚型的临床和治疗意义有限，它们可能就失去了意义。我们报告了一例食管裂孔疝患者的典型病例，该患者抱怨反流、吞咽困难和胸痛，且对药物治疗无反应。诊断为“贲门失弛缓症”，提出了一种混合治疗方法，包括经口内镜下肌切开术（POEM）以及同时进行的膈脚修复和 Dor 胃底折叠术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e13/8529866/283335e5faff/10620_2021_7279_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e13/8529866/a3338e0cde9c/10620_2021_7279_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e13/8529866/7f5ef6ddd9d9/10620_2021_7279_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e13/8529866/283335e5faff/10620_2021_7279_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e13/8529866/a3338e0cde9c/10620_2021_7279_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e13/8529866/7f5ef6ddd9d9/10620_2021_7279_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e13/8529866/283335e5faff/10620_2021_7279_Fig3_HTML.jpg

相似文献

1
High-Pressure Tactics: Jackhammer Esophagus-Diagnosing Is Easier than Treating.高压策略：震碎食管——诊断容易治疗难。
Dig Dis Sci. 2022 Apr;67(4):1200-1203. doi: 10.1007/s10620-021-07279-6. Epub 2021 Oct 21.
2
[Efficacy comparison of laparoscopic Nissen, Toupet and Dor fundoplication in the treatment of hiatal hernia complicated with gastroesophageal reflux disease].腹腔镜尼森、图佩特和多尔胃底折叠术治疗食管裂孔疝合并胃食管反流病的疗效比较
Zhonghua Wei Chang Wai Ke Za Zhi. 2016 Sep 25;19(9):1014-1020.
3
Laparoscopic hiatal hernia repair in patients with poor esophageal motility or paraesophageal herniation.腹腔镜下食管动力差或食管旁疝患者的食管裂孔疝修补术。
Am Surg. 2001 Oct;67(10):987-91.
4
Impact of laparoscopic nissen fundoplication with prosthetic hiatal closure on esophageal body motility: Results of a prospective randomized trial.腹腔镜尼氏胃底折叠术联合人工食管裂孔闭合术对食管体部运动功能的影响：一项前瞻性随机试验的结果
Arch Surg. 2006 Jul;141(7):625-32. doi: 10.1001/archsurg.141.7.625.
5
[Gastroesophageal reflux after laparoscopic hiatal hernia repair in patients with axial hiatal hernia].[轴型食管裂孔疝患者腹腔镜食管裂孔疝修补术后的胃食管反流]
Khirurgiia (Mosk). 2020(6):38-43. doi: 10.17116/hirurgia202006138.
6
Omission of preoperative esophageal manometry does not alter operative approach or postoperative dysphagia following laparoscopic paraesophageal hernia repair.术前未进行食管测压并不改变腹腔镜食管旁疝修补术后的手术方式或术后吞咽困难情况。
Dis Esophagus. 2017 Jul 1;30(7):1-6. doi: 10.1093/dote/dox044.
7
Esophageal manometric characteristics and outcomes for laparoscopic esophageal diverticulectomy, myotomy, and partial fundoplication for epiphrenic diverticula.腹腔镜食管憩室切除术、肌切开术和部分胃底折叠术治疗膈上憩室的食管测压特征及结果
Surg Endosc. 2009 Jun;23(6):1337-41. doi: 10.1007/s00464-008-0165-9. Epub 2008 Sep 24.
8
Esophageal hypermotility: cause or effect?食管运动功能亢进：是因还是果？
Dis Esophagus. 2016 Jul;29(5):497-502. doi: 10.1111/dote.12367. Epub 2015 Apr 20.
9
Manometric Esophageal Length to Height (MELH) Ratio Predicts Hiatal Hernia Recurrence.测压食管长度与身高比（MELH）预测食管裂孔疝复发。
J Clin Gastroenterol. 2020 Jul;54(6):e56-e62. doi: 10.1097/MCG.0000000000001316.
10
Short esophagus.短食管
Surg Clin North Am. 2015 Jun;95(3):641-52. doi: 10.1016/j.suc.2015.02.015. Epub 2015 Apr 1.

引用本文的文献

1
Hypercontractile esophagus responsive to potassium-competitive acid blockers: a case report.高收缩性食管对钾竞争性酸阻滞剂有反应：病例报告。
BMC Gastroenterol. 2022 Jun 23;22(1):307. doi: 10.1186/s12876-022-02375-x.

本文引用的文献

1
Esophageal motility disorders on high-resolution manometry: Chicago classification version 4.0.高分辨率食管动力障碍：芝加哥分类版本 4.0。
Neurogastroenterol Motil. 2021 Jan;33(1):e14058. doi: 10.1111/nmo.14058.
2
Endoscopic management of gastrointestinal motility disorders - part 1: European Society of Gastrointestinal Endoscopy (ESGE) Guideline.胃肠动力障碍的内镜处理 - 第 1 部分：欧洲胃肠道内镜学会 (ESGE) 指南。
Endoscopy. 2020 Jun;52(6):498-515. doi: 10.1055/a-1160-5549. Epub 2020 May 6.
3
Long-term outcomes of per-oral endoscopic myotomy compared to laparoscopic Heller myotomy for achalasia: a single-center experience.
经口内镜肌切开术与腹腔镜 Heller 肌切开术治疗贲门失弛缓症的长期疗效比较：单中心经验。
Surg Endosc. 2021 Feb;35(2):792-801. doi: 10.1007/s00464-020-07450-6. Epub 2020 Mar 10.
4
Prospective serial diagnostic study: the effects of position and provocative tests on the diagnosis of oesophageal motility disorders by high-resolution manometry.前瞻性系列诊断研究：体位和激发试验对高分辨率测压法诊断食管动力障碍的影响。
Aliment Pharmacol Ther. 2020 Apr;51(7):706-718. doi: 10.1111/apt.15658. Epub 2020 Feb 13.
5
Changes in high-resolution manometric diagnosis over time: implications for clinical decision-making.高分辨率测压诊断随时间的变化：对临床决策的影响。
Dis Esophagus. 2020 Mar 16;33(3). doi: 10.1093/dote/doz094.
6
Clinical efficacy of per-oral endoscopic myotomy (POEM) for spastic esophageal disorders: a systematic review and meta-analysis.经口内镜下肌切开术（POEM）治疗痉挛性食管障碍的临床疗效：系统评价和荟萃分析。
Surg Endosc. 2020 Feb;34(2):707-718. doi: 10.1007/s00464-019-06819-6. Epub 2019 May 9.
7
Jackhammer esophagus: Assessing the balance between prepeak and postpeak contractile integral.震波食道：评估收缩积分前峰和后峰之间的平衡。
Neurogastroenterol Motil. 2018 May;30(5):e13262. doi: 10.1111/nmo.13262. Epub 2017 Nov 29.
8
GERD after per-oral endoscopic myotomy as compared with Heller's myotomy with fundoplication: a systematic review with meta-analysis.经口内镜肌切开术与 Heller 肌切开术加胃底折叠术治疗胃食管反流病的比较：系统评价和荟萃分析。
Gastrointest Endosc. 2018 Apr;87(4):934-943.e18. doi: 10.1016/j.gie.2017.10.022. Epub 2017 Nov 2.
9
Peroral endoscopic myotomy for Jackhammer esophagus: to cut or not to cut the lower esophageal sphincter.经口内镜下肌切开术治疗风钻样食管：是否切开食管下括约肌
Endosc Int Open. 2016 May;4(5):E585-8. doi: 10.1055/s-0042-105204. Epub 2016 Apr 8.
10
Importance of Esophageal Manometry and pH Monitoring in the Evaluation of Patients with Refractory Gastroesophageal Reflux Disease: A Multicenter Study.食管测压和pH监测在难治性胃食管反流病患者评估中的重要性：一项多中心研究
J Laparoendosc Adv Surg Tech A. 2016 Jul;26(7):548-50. doi: 10.1089/lap.2016.0189. Epub 2016 May 24.