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食管失弛缓症:治疗选择的利弊。

Esophageal Achalasia: Pros and Cons of the Treatment Options.

机构信息

Department of Surgical, Oncological and Gastroenterological Sciences, Chirurgia Generale 1, University of Padua, 2, via Giustiniani, 35128, Padua, Italy.

出版信息

World J Surg. 2022 Jul;46(7):1554-1560. doi: 10.1007/s00268-022-06495-z. Epub 2022 Mar 3.

DOI:10.1007/s00268-022-06495-z
PMID:35238987
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9174302/
Abstract

Achalasia is a primary esophageal motility disorder of unknown origin. The goal of treatment is to reduce the resistance caused by a lower esophageal sphincter that fails to relax and is frequently hypertensive. Many treatment options are available to achieve this goal. In this review, we discuss the pros and cons of each therapeutic approach.

摘要

贲门失弛缓症是一种病因不明的原发性食管动力障碍。治疗的目的是降低食管下括约肌不能松弛且常呈高压状态所导致的阻力。有许多治疗方法可实现这一目标。在本综述中,我们讨论了每种治疗方法的优缺点。

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Laparoscopic Revisional Surgery After Failed Heller Myotomy for Esophageal Achalasia: Long-Term Outcome at a Single Tertiary Center.腹腔镜修正手术治疗食管失弛缓症 Heller 肌切开术失败:单中心长期疗效。
J Gastrointest Surg. 2021 Sep;25(9):2208-2217. doi: 10.1007/s11605-021-05041-x. Epub 2021 Jun 7.
2
The Modern Age of POEM: the Past, Present and Future of Per-Oral Endoscopic Myotomy.经口内镜下肌切开术的前世、今生与未来:POEM 时代
J Gastrointest Surg. 2021 Feb;25(2):551-557. doi: 10.1007/s11605-020-04815-z. Epub 2020 Nov 2.
3
Peroral endoscopic myotomy for patients with achalasia with previous Heller myotomy: a systematic review and meta-analysis.经口内镜肌切开术治疗既往行 Heller 肌切开术的贲门失弛缓症患者:系统评价和荟萃分析。
Gastrointest Endosc. 2021 Jan;93(1):47-56.e5. doi: 10.1016/j.gie.2020.05.056. Epub 2020 Jun 11.
4
Peroral endoscopic myotomy versus pneumatic dilation for achalasia: a systematic review and meta-analysis.经口内镜下肌切开术与气囊扩张术治疗贲门失弛缓症的系统评价和荟萃分析。
Eur J Gastroenterol Hepatol. 2020 Nov;32(11):1413-1421. doi: 10.1097/MEG.0000000000001800.
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J Gastrointest Surg. 2020 Mar;24(3):505-515. doi: 10.1007/s11605-019-04465-w. Epub 2019 Dec 17.
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A Thousand and One Laparoscopic Heller Myotomies for Esophageal Achalasia: a 25-Year Experience at a Single Tertiary Center.一千零一次腹腔镜 Heller 肌切开术治疗食管失弛缓症:单中心 25 年经验。
J Gastrointest Surg. 2019 Jan;23(1):23-35. doi: 10.1007/s11605-018-3956-x. Epub 2018 Sep 20.