经口内镜肌切开术技术，从口至肛门。
Peroral Endoscopic Myotomy Technique, from Mouth to Anus.
机构信息
Department of Biomedical Sciences, Pieve Emanuele, Humanitas University, Rozzano, Italy; Humanitas Clinical and Research Center -IRCCS-, Endoscopy Unit, Rozzano, Italy.
Department of Biomedical Sciences, Pieve Emanuele, Humanitas University, Rozzano, Italy; Humanitas Clinical and Research Center -IRCCS-, Endoscopy Unit, Rozzano, Italy.
出版信息
Gastrointest Endosc Clin N Am. 2023 Jan;33(1):127-142. doi: 10.1016/j.giec.2022.09.008.
The peroral endoscopic myotomy (POEM) procedure, as described over 10 years ago, is a submucosal endoscopy procedure that allows access to the muscle layers throughout the gastrointestinal (GI) tract. With this access, and ability to cut the muscle fibers, POEM can be performed not only for motility disorders but for structural pathology as well, such as Zenker diverticulum. Regardless of the location, there are 4 steps to the procedure: mucosotomy, submucosal tunneling, myotomy, and mucostomy closure. This review outlines these key components as well as variations in techniques for POEM throughout the GI tract.
经口内镜下肌切开术（POEM）是一种黏膜下内镜手术，可进入整个胃肠道（GI）的肌肉层。通过这种进入方式和切割肌肉纤维的能力，POEM 不仅可用于运动障碍，还可用于结构病理学，如Zenker 憩室。无论位置如何，该手术都有 4 个步骤：黏膜切开、黏膜下隧道、肌切开和黏膜吻合口关闭。本文综述了这些关键组成部分以及整个胃肠道 POEM 技术的变化。
Zotero 插件