治疗胃痉挛的胃口周围内窥镜肌切开术（G-POEM）

IF 1.2 Q4 GASTROENTEROLOGY & HEPATOLOGY Techniques and Innovations in Gastrointestinal Endoscopy Pub Date : 2024-01-01 DOI:10.1016/j.tige.2023.09.002

Ernesto Robalino Gonzaga , Peter V. Draganov , Dennis Yang

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引用次数: 0

摘要

胃瘫是一种以胃排空延迟为特征的慢性衰弱病症。药物难治性胃瘫给患者和医疗系统带来了沉重的负担。对这些患者的管理具有挑战性，部分原因是其症状与其他功能性疾病重叠，而且症状与胃运动障碍程度之间缺乏一致的联系。胃口周围内窥镜肌切开术（G-POEM）是最近出现的一种治疗胃瘫的新疗法。本综述概述了 G-POEM 治疗药物难治性胃瘫的情况，讨论了患者选择、手术技术、临床结果和未来发展方向。

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Gastric Peroral Endoscopic Myotomy (G-POEM) for the Management of Gastroparesis

Gastroparesis is a chronic debilitation condition characterized by delayed gastric emptying. Medically refractory gastroparesis poses a significant burden on patients and the health care system. Managing these patients can be challenging, partly due to the overlap of symptoms with other functional disorders and the lack of a consistent association between symptoms and the degree of gastric dysmotility. Gastric peroral endoscopic myotomy (G-POEM) has recently emerged as a novel therapeutic option for managing gastroparesis. This review provides an overview of G-POEM for medically refractory gastroparesis, discussing patient selection, technical aspects of the procedure, clinical outcomes, and future directions.

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