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

IF 1 Q3 MEDICINE, GENERAL & INTERNAL Cureus Pub Date : 2024-11-03 eCollection Date: 2024-11-01 DOI:10.7759/cureus.72914
Krishn K Rawal, Avval Sadikot, Chintan Kansagra, Chintan Mori
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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.

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口周内窥镜肌切开术中易于进入粘膜下空间的改良粘膜切口。
这里讨论的是一种改良的粘膜切口技术,可在口腔内窥镜肌切开术(POEM)中轻松进入粘膜下层。在对六例贲门失弛缓症患者进行口腔内窥镜肌切开术时,采用了 L 形粘膜切口。所有病例在完成肌切开术后都用夹子缝合了切口。所有六个病例的口腔内窥镜肌切开术都很成功,没有出现任何并发症。粘膜切口用夹子顺利缝合。在口腔内窥镜肌瘤切除术中,用于进入粘膜下层的 L 形粘膜切口使手术简单快捷。
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