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微型综述:针对 III 型贲门失弛缓症的经口内镜肌切开术。

Mini-review: Tailored per-oral endoscopic myotomy for type III achalasia.

机构信息

Division of Gastroenterology, University of Michigan, Ann Arbor, Michigan, USA.

出版信息

Neurogastroenterol Motil. 2023 Dec;35(12):e14700. doi: 10.1111/nmo.14700. Epub 2023 Oct 27.

DOI:10.1111/nmo.14700
PMID:37897117
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10851349/
Abstract

This mini-review summarizes the most recent literature regarding per-oral endoscopic myotomy for type III achalasia, emphasizing the poorly understood science of tailoring myotomy length during this procedure. In addition, special attention will be placed on the current subjective and objective biomarkers, such as the Eckardt score, used to evaluate treatment outcomes in this population to better contextualize the existing data on patient outcomes, as proposed by Low et al in the current issue of the Journal. Understanding the current treatment landscape for type III achalasia and identifying the key areas of research deficiencies will guide future investigation and management of this disease.

摘要

这篇迷你综述总结了最近关于经口内镜肌切开术治疗 III 型贲门失弛缓症的文献,重点介绍了在该手术中精确调整肌切开长度的相关科学知识。此外,本文还将特别关注目前用于评估该人群治疗效果的主观和客观生物标志物,例如 Eckardt 评分,以更好地理解 Low 等人在本期杂志中提出的关于患者结局的现有数据。了解 III 型贲门失弛缓症的当前治疗现状,并确定研究不足之处的关键领域,将有助于指导该疾病的未来研究和管理。

相似文献

1
Mini-review: Tailored per-oral endoscopic myotomy for type III achalasia.微型综述:针对 III 型贲门失弛缓症的经口内镜肌切开术。
Neurogastroenterol Motil. 2023 Dec;35(12):e14700. doi: 10.1111/nmo.14700. Epub 2023 Oct 27.
2
Myotomy length informed by high-resolution esophageal manometry (HREM) results in improved per-oral endoscopic myotomy (POEM) outcomes for type III achalasia.基于高分辨率食管测压(HREM)结果的肌切开术长度可改善 III 型贲门失弛缓症的经口内镜肌切开术(POEM)结局。
Surg Endosc. 2019 Mar;33(3):886-894. doi: 10.1007/s00464-018-6356-0. Epub 2018 Jul 27.
3
POEM for Esophageal Achalasia.食管贲门失弛缓症的经口内镜下肌切开术(POEM)
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4
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Efficacy of anterior versus posterior per-oral endoscopic myotomy for treating achalasia: a randomized, prospective study.经口内镜下肌切开术治疗贲门失弛缓症的疗效:一项随机、前瞻性研究。
Gastrointest Endosc. 2018 Jul;88(1):46-54. doi: 10.1016/j.gie.2018.03.009. Epub 2018 Mar 20.
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Elevated preoperative lower esophageal sphincter pressure predicts improved clinical outcomes after per oral endoscopic myotomy (POEM).术前食管下括约肌压力升高预示经口内镜肌切开术(POEM)后临床结局改善。
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引用本文的文献

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Surg Endosc. 2024 Aug;38(8):4686-4694. doi: 10.1007/s00464-024-10944-2. Epub 2024 Jun 7.

本文引用的文献

1
Diagnostic methods to measure spastic segment and guide tailored myotomy length in type 3 achalasia.诊断方法测量痉挛节段并指导 3 型贲门失弛缓症的个体化肌切开长度。
Neurogastroenterol Motil. 2023 Dec;35(12):e14625. doi: 10.1111/nmo.14625. Epub 2023 Jun 8.
2
Early outcomes following EndoFLIP-tailored peroral endoscopic myotomy (POEM): the establishment of POEM services in two UK centers.内镜隧道下肌切开术(POEM)治疗后的早期结果:英国两个中心开展 POEM 服务。
Dis Esophagus. 2023 Jul 27;36(8). doi: 10.1093/dote/doac110.
3
Chicago Classification update (version 4.0): Technical review on diagnostic criteria for achalasia.芝加哥分类更新(第 4.0 版):贲门失弛缓症诊断标准的技术审查。
Neurogastroenterol Motil. 2021 Jul;33(7):e14182. doi: 10.1111/nmo.14182. Epub 2021 Jun 30.
4
Intraoperative high-resolution esophageal manometry during peroral endoscopic myotomy.经口内镜下肌切开术中的术中高分辨率食管测压。
Sci Rep. 2020 Aug 26;10(1):14198. doi: 10.1038/s41598-020-71136-1.
5
ACG Clinical Guidelines: Diagnosis and Management of Achalasia.ACG 临床指南:贲门失弛缓症的诊断与管理。
Am J Gastroenterol. 2020 Sep;115(9):1393-1411. doi: 10.14309/ajg.0000000000000731.
6
Peroral endoscopic myotomy (POEM) for achalasia.经口内镜下肌切开术(POEM)治疗贲门失弛缓症。
J Thorac Dis. 2019 Aug;11(Suppl 12):S1618-S1628. doi: 10.21037/jtd.2019.07.84.
7
Meta-analysis of clinical outcome after treatment for achalasia based on manometric subtypes.基于测压亚型的贲门失弛缓症治疗后临床结局的荟萃分析。
Br J Surg. 2019 Mar;106(4):332-341. doi: 10.1002/bjs.11049. Epub 2019 Jan 28.
8
Myotomy length informed by high-resolution esophageal manometry (HREM) results in improved per-oral endoscopic myotomy (POEM) outcomes for type III achalasia.基于高分辨率食管测压(HREM)结果的肌切开术长度可改善 III 型贲门失弛缓症的经口内镜肌切开术(POEM)结局。
Surg Endosc. 2019 Mar;33(3):886-894. doi: 10.1007/s00464-018-6356-0. Epub 2018 Jul 27.
9
Genesis of Esophageal Pressurization and Bolus Flow Patterns in Patients With Achalasia Esophagus.贲门失弛缓症患者食管压力和食团流动模式的起源。
Gastroenterology. 2018 Aug;155(2):327-336. doi: 10.1053/j.gastro.2018.04.033. Epub 2018 May 5.
10
Evaluating the reliability and construct validity of the Eckardt symptom score as a measure of achalasia severity.评估 Eckardt 症状评分作为贲门失弛缓症严重程度衡量指标的可靠性和结构有效性。
Neurogastroenterol Motil. 2018 Jun;30(6):e13287. doi: 10.1111/nmo.13287. Epub 2018 Jan 8.