Rawal Krishn K, Sadikot Avval, Kansagra Chintan, Mori Chintan
Gastroenterology, Prime Institute of Digestive Sciences, Rajkot, IND.
Gastroenterology and Hepatology, Prime Institute of Digestive Sciences, Rajkot, IND.
Cureus. 2024 Nov 3;16(11):e72914. doi: 10.7759/cureus.72914. eCollection 2024 Nov.
A technique of modified mucosal incision is discussed here for easy submucosal entry during peroral endoscopic myotomy (POEM). An L-shaped mucosal incision was used during peroral endoscopic myotomy in six cases of achalasia cardia. The incision was closed by clips in all the cases after the complete myotomy. Peroral endoscopic myotomy was successful in all six cases without any complication. The mucosal incision was closed by clips without any difficulty. The L-shaped mucosal incision for submucosal entry during peroral endoscopic myotomy made the procedure easy and quick.
本文讨论了一种改良的黏膜切口技术,以便在经口内镜下肌切开术(POEM)过程中更容易进入黏膜下层。在6例贲门失弛缓症患者的经口内镜下肌切开术中采用了L形黏膜切口。在完全肌切开术后,所有病例的切口均用夹子闭合。6例经口内镜下肌切开术均成功,无任何并发症。黏膜切口用夹子闭合,没有任何困难。经口内镜下肌切开术中用于进入黏膜下层的L形黏膜切口使手术变得轻松快捷。