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一种改良的黏膜切口，便于经口内镜下肌切开术进入黏膜下间隙。

A Modified Mucosal Incision for Easy Entry Into the Submucosal Space During Peroral Endoscopic Myotomy.

作者信息

Rawal Krishn K, Sadikot Avval, Kansagra Chintan, Mori Chintan

机构信息

Gastroenterology, Prime Institute of Digestive Sciences, Rajkot, IND.

Gastroenterology and Hepatology, Prime Institute of Digestive Sciences, Rajkot, IND.

出版信息

Cureus. 2024 Nov 3;16(11):e72914. doi: 10.7759/cureus.72914. eCollection 2024 Nov.

DOI:10.7759/cureus.72914
PMID:39493343
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11531799/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f371/11531799/dcf866b64658/cureus-0016-00000072914-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f371/11531799/a3bd7b10481c/cureus-0016-00000072914-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f371/11531799/b6f2ae6043ec/cureus-0016-00000072914-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f371/11531799/dcf866b64658/cureus-0016-00000072914-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f371/11531799/a3bd7b10481c/cureus-0016-00000072914-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f371/11531799/b6f2ae6043ec/cureus-0016-00000072914-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f371/11531799/dcf866b64658/cureus-0016-00000072914-i03.jpg

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本文引用的文献

1
Transverse versus longitudinal mucosal incision during POEM for esophageal motility disorders: a randomized trial.经口内镜下肌切开术（POEM）治疗食管动力障碍时，横向与纵向黏膜切口：一项随机试验。
Surg Endosc. 2024 Sep;38(9):5053-5059. doi: 10.1007/s00464-024-11027-y. Epub 2024 Jul 15.
2
Clinical Practice Update: The Use of Per-Oral Endoscopic Myotomy in Achalasia: Expert Review and Best Practice Advice From the AGA Institute.临床实践更新：经口内镜下肌切开术在贲门失弛缓症中的应用：美国胃肠病学会专家综述与最佳实践建议
Gastroenterology. 2017 Nov;153(5):1205-1211. doi: 10.1053/j.gastro.2017.10.001. Epub 2017 Oct 6.
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Comprehensive Analysis of Adverse Events Associated With Per Oral Endoscopic Myotomy in 1826 Patients: An International Multicenter Study.
1826 例经口内镜下肌切开术相关不良事件的综合分析：一项国际多中心研究。
Am J Gastroenterol. 2017 Aug;112(8):1267-1276. doi: 10.1038/ajg.2017.139. Epub 2017 May 23.
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[Factors affecting the safety and efficacy of peroral endoscopic myotomy for achalasia].[影响贲门失弛缓症经口内镜下肌切开术安全性和疗效的因素]
Nan Fang Yi Ke Da Xue Xue Bao. 2016 Jun 20;36(7):892-7.
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[Comparison of peroral endoscopic myotomy with transverse entry incision versus longitudinal entry incision for achalasia].经口内镜下肌切开术横向入路切口与纵向入路切口治疗贲门失弛缓症的比较
Nan Fang Yi Ke Da Xue Xue Bao. 2013 Sep;33(9):1399-402.
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Peroral endoscopic myotomy (POEM) for esophageal achalasia.经口内镜下肌切开术（POEM）治疗食管失弛缓症。
Endoscopy. 2010 Apr;42(4):265-71. doi: 10.1055/s-0029-1244080. Epub 2010 Mar 30.
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Submucosal endoscopic esophageal myotomy: a novel experimental approach for the treatment of achalasia.黏膜下内镜下食管肌层切开术：一种治疗贲门失弛缓症的新型实验方法。
Endoscopy. 2007 Sep;39(9):761-4. doi: 10.1055/s-2007-966764.