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原发性食管动力障碍的评估与治疗

Evaluation and treatment of primary esophageal motility disorders.

作者信息

Patti M G, Way L W

机构信息

Department of Surgery, University of California, San Francisco (UCSF), Medical Center 94143-0788, USA.

出版信息

West J Med. 1997 Apr;166(4):263-9.

PMID:9168684
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1304206/
Abstract

Achalasia, diffuse esophageal spasm, and nutcracker esophagus constitute the main primary esophageal motility disorders. During the past decade major progress has been made in understanding their pathophysiology and in the ability to establish a precise diagnosis. In addition, minimally invasive surgical intervention has radically changed the therapeutic approach, and thoracoscopic or laparoscopic myotomy is probably the best treatment for most patients.

摘要

贲门失弛缓症、弥漫性食管痉挛和胡桃夹食管是主要的原发性食管动力障碍。在过去十年中,在理解其病理生理学以及精确诊断能力方面取得了重大进展。此外,微创外科手术干预彻底改变了治疗方法,胸腔镜或腹腔镜肌切开术可能是大多数患者的最佳治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/121c/1304206/fb4ad540da6f/westjmed00344-0034-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/121c/1304206/fb4ad540da6f/westjmed00344-0034-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/121c/1304206/fb4ad540da6f/westjmed00344-0034-a.jpg

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引用本文的文献

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Comparison of thoracoscopic and laparoscopic Heller myotomy for achalasia.胸腔镜与腹腔镜下贲门失弛缓症Heller肌切开术的比较
J Gastrointest Surg. 1998 Nov-Dec;2(6):561-6. doi: 10.1016/s1091-255x(98)80057-7.
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Primary esophageal motility disorders: incisive decisions.原发性食管动力障碍:关键决策

本文引用的文献

1
Endoscopic surgical treatment of primary oesophageal motility disorders.原发性食管动力障碍的内镜手术治疗
J R Coll Surg Edinb. 1996 Jun;41(3):137-42.
2
Botulinum toxin for achalasia: to be or not to be?肉毒杆菌毒素用于治疗贲门失弛缓症:是用还是不用?
Gastroenterology. 1996 May;110(5):1650-2. doi: 10.1053/gast.1996.v110.agast961650.
3
Botulinum toxin for achalasia: long-term outcome and predictors of response.肉毒杆菌毒素治疗贲门失弛缓症:长期疗效及反应预测因素
West J Med. 1997 Apr;166(4):289-90.
Gastroenterology. 1996 May;110(5):1410-5. doi: 10.1053/gast.1996.v110.pm8613045.
4
Pathological esophageal acidification and pneumatic dilitation in achalasic patients. Too much or not enough?贲门失弛缓症患者的病理性食管酸化与气囊扩张:过度还是不足?
Dig Dis Sci. 1996 Feb;41(2):365-71. doi: 10.1007/BF02093830.
5
Objective assessment of gastroesophageal reflux after short esophagomyotomy for achalasia with the use of manometry and pH monitoring.使用测压法和pH监测对贲门失弛缓症短食管肌切开术后胃食管反流进行客观评估。
J Thorac Cardiovasc Surg. 1996 Jan;111(1):107-12; discussion 112-3. doi: 10.1016/S0022-5223(96)70406-3.
6
Chest pain associated with nutcracker esophagus: a preliminary study of the role of gastroesophageal reflux.与胡桃夹食管相关的胸痛:胃食管反流作用的初步研究
Am J Gastroenterol. 1993 Feb;88(2):187-92.
7
Oesophagomyotomy for achalasia: a 22-year experience.贲门失弛缓症的食管肌层切开术:22年经验
Br J Surg. 1993 Jul;80(7):882-5. doi: 10.1002/bjs.1800800727.
8
Barrett's esophagus after cardiomyotomy for esophageal achalasia.贲门失弛缓症行贲门肌切开术后的巴雷特食管。
Am J Gastroenterol. 1994 Feb;89(2):165-9.
9
Treatment of achalasia: the best of both worlds.贲门失弛缓症的治疗:两全其美。
Am J Gastroenterol. 1994 Jul;89(7):979-85.
10
Reflux in untreated achalasia patients.未经治疗的贲门失弛缓症患者的反流
J Clin Gastroenterol. 1995 Jan;20(1):6-11. doi: 10.1097/00004836-199501000-00004.