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Endoflip-阻抗平面测量系统的应用:适用于哪些适应症?

Use of Endoflip - Impedance Planimetry System: For Which Indications?

作者信息

Nagl Sandra, Ebigbo Alanna, Messmann Helmut

机构信息

Department of Gastroenterology, University Hospital Augsburg, Augsburg, Germany.

出版信息

Visc Med. 2025 Jun;41(3):137-146. doi: 10.1159/000542545. Epub 2025 Jan 7.

DOI:10.1159/000542545
PMID:40519765
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12165644/
Abstract

BACKGROUND

The functional lumen imaging probe (EndoFLIP), which utilizes impedance planimetry, has emerged as a valuable tool for a more comprehensive evaluation of esophageal physiology and pathophysiology beyond traditional high-resolution manometry.

SUMMARY

EndoFLIP, including its variations EndoFLIP and EsoFLIP, measures intraluminal distensibility and compliance by assessing diameter and distension pressure using balloon catheters.

KEY MESSAGES

This technology is applicable to various organs such as the esophagus, stomach, and anorectal region, and serves in both diagnostic and therapeutic contexts, especially in ambiguous clinical cases.

摘要

背景

利用阻抗平面测量法的功能性管腔成像探头(EndoFLIP)已成为一种有价值的工具,可用于比传统高分辨率测压更全面地评估食管生理和病理生理。

总结

EndoFLIP,包括其变体EndoFLIP和EsoFLIP,通过使用球囊导管评估直径和扩张压力来测量管腔内扩张性和顺应性。

关键信息

该技术适用于食管、胃和肛门直肠区域等各种器官,在诊断和治疗方面均有应用,尤其是在临床情况不明确的病例中。

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本文引用的文献

1
Validation of Clinically Relevant Thresholds of Esophagogastric Junction Obstruction Using FLIP Panometry.使用 FLIP 全景测量法验证食管胃结合部梗阻的临床相关阈值。
Clin Gastroenterol Hepatol. 2022 Jun;20(6):e1250-e1262. doi: 10.1016/j.cgh.2021.06.040. Epub 2021 Jun 30.
2
Pyloric dilation with the esophageal functional lumen imaging probe in gastroparesis improves gastric emptying, pyloric distensibility, and symptoms.胃轻瘫患者使用食管功能腔内腔成像探头进行幽门扩张术可改善胃排空、幽门扩张性和症状。
Gastrointest Endosc. 2021 Sep;94(3):486-494. doi: 10.1016/j.gie.2021.03.022. Epub 2021 Mar 23.
3
Esophageal motility disorders on high-resolution manometry: Chicago classification version 4.0.高分辨率食管动力障碍:芝加哥分类版本 4.0。
Neurogastroenterol Motil. 2021 Jan;33(1):e14058. doi: 10.1111/nmo.14058.
4
Use of the Functional Lumen Imaging Probe in Clinical Esophagology.在临床食管学中使用功能腔成像探头。
Am J Gastroenterol. 2020 Nov;115(11):1786-1796. doi: 10.14309/ajg.0000000000000773.
5
Impedance planimetry values for predicting clinical response following peroral endoscopic myotomy.经口内镜肌切开术治疗后预测临床反应的阻抗平面测量值。
Endoscopy. 2021 Jun;53(6):570-577. doi: 10.1055/a-1268-7713. Epub 2020 Nov 4.
6
The Usefulness of the Measurement of Esophagogastric Junction Distensibility by EndoFLIP in the Diagnosis of Gastroesophageal Reflux Disease.食管胃连接部可扩张性的测量在胃食管反流病诊断中的作用。
Gut Liver. 2021 Jul 15;15(4):546-552. doi: 10.5009/gnl20117.
7
EndoFLIP and Pyloric Dilation for Gastroparesis Symptoms Refractory to Pyloromyotomy/Pyloroplasty.内镜下胃翻转术联合幽门扩张术治疗抗幽门肌切开术/幽门成形术的胃轻瘫症状。
Dig Dis Sci. 2021 Aug;66(8):2682-2690. doi: 10.1007/s10620-020-06510-0. Epub 2020 Aug 4.
8
Short-term outcome after singular hydraulic EsoFLIP dilation in patients with achalasia: A feasibility study.贲门失弛缓症患者单次水压式经口内镜下肌切开术扩张后的短期结局:一项可行性研究。
Neurogastroenterol Motil. 2020 Sep;32(9):e13864. doi: 10.1111/nmo.13864. Epub 2020 May 11.
9
Endoscopic management of gastrointestinal motility disorders - part 1: European Society of Gastrointestinal Endoscopy (ESGE) Guideline.胃肠动力障碍的内镜处理 - 第 1 部分:欧洲胃肠道内镜学会 (ESGE) 指南。
Endoscopy. 2020 Jun;52(6):498-515. doi: 10.1055/a-1160-5549. Epub 2020 May 6.
10
Endoscope presence during endoluminal functional lumen imaging probe (FLIP) influences FLIP metrics in the evaluation of esophageal dysmotility.内镜在腔内功能腔成像探头(FLIP)检查中的存在影响食管动力障碍评估中 FLIP 指标。
Neurogastroenterol Motil. 2020 Jun;32(6):e13823. doi: 10.1111/nmo.13823. Epub 2020 Feb 25.