儿科神经胃肠病学和动力障碍：内镜扮演什么角色？
Pediatric Neurogastroenterology and Motility Disorders: What Role Does Endoscopy Play?
机构信息
Division of Pediatric Gastroenterology, Hepatology and Nutrition, Columbia University Vagelos College of Physicians and Surgeons, Gastrointestinal Motility Center, NewYork Presbyterian Morgan Stanley Children's Hospital, 622 West 168th Street, PH 17, New York, NY 11032, USA.
Division of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Saint Louis University School of Medicine, SSM Cardinal Glennon Children's Medical Center, 1465 South Grand Boulevard, St Louis, MO 63104, USA.
出版信息
Gastrointest Endosc Clin N Am. 2023 Apr;33(2):379-399. doi: 10.1016/j.giec.2022.10.004.
Although pediatric neurogastroenterology and motility (PNGM) disorders are prevalent, often debilitating, and remain challenging to diagnose and treat, this field has made remarkable progress in the last decade. Diagnostic and therapeutic gastrointestinal endoscopy emerged as a valuable tool in the management of PNGM disorders. Novel modalities such as functional lumen imaging probe, per-oral endoscopic myotomy, gastric-POEM, and electrocautery incisional therapy have changed the diagnostic and therapeutic landscape of PNGM. In this review, the authors highlight the emerging role of therapeutic and diagnostic endoscopy in esophageal, gastric, small bowel, colonic, and anorectal disorders and disorders of gut and brain axis interaction.
尽管儿科神经胃肠病学和动力障碍（PNGM）较为常见，常常使人衰弱，且在诊断和治疗方面仍然具有挑战性，但该领域在过去十年中取得了显著进展。诊断和治疗性胃肠内窥镜检查已成为管理 PNGM 疾病的有价值的工具。新型方式，如功能腔成像探头、经口内镜肌切开术、胃-POEM 和电切切开术，改变了 PNGM 的诊断和治疗格局。在这篇综述中，作者强调了治疗和诊断内窥镜在食管、胃、小肠、结肠和肛肠疾病以及肠道和大脑轴相互作用障碍中的新作用。
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