Insights into the endoscopic management of esophageal achalasia.

IF 3 Q2 GASTROENTEROLOGY & HEPATOLOGY Therapeutic Advances in Gastrointestinal Endoscopy Pub Date : 2021-05-05 eCollection Date: 2021-01-01 DOI:10.1177/26317745211014706
Elizabeth Brindise, Mouen A Khashab, Rami El Abiad
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引用次数: 3

Abstract

Achalasia is a primary esophageal motility disorder characterized by the loss of inhibitory neurons in the myenteric plexus, resulting in impaired relaxation of the esophagogastric junction. Achalasia is an incurable disease, and the treatment modalities are aimed at disruption of the esophagogastric junction and vary widely from pharmacological to endoscopic to surgical. Traditional endoscopic therapy includes pneumatic dilation, botulinum toxin injection, and peroral endoscopic myotomy. This review aims to provide an overview of the endoscopic management of achalasia, while focusing on the utilization of peroral endoscopic myotomy and other novel approaches.

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食管贲门失弛缓症的内镜治疗。
贲门失弛缓症是一种原发性食管运动障碍,其特征是肌肠丛中抑制性神经元的丧失,导致食管胃连接处松弛受损。贲门失弛缓症是一种无法治愈的疾病,治疗方式主要是破坏食管胃交界处,从药理学到内窥镜再到外科手术,治疗方式各不相同。传统的内窥镜治疗包括气动扩张、肉毒杆菌毒素注射和经口内窥镜肌切开术。本文综述了贲门失弛缓症的内镜治疗,并重点介绍了经口内窥镜下肌切开术和其他新方法的应用。
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来源期刊
CiteScore
4.80
自引率
0.00%
发文量
8
审稿时长
13 weeks
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