Endoscopic and Surgical Treatments for Achalasia Who to Treat and How?

被引：9
作者：
Fajardo, Romulo A. [1 ]
Petrov, Roman, V [2 ]
Bakhos, Charles T. [2 ]
Abbas, Abbas E. [2 ]
机构：
[1] Temple Univ Hosp & Med Sch, Dept Gen Surg, 3401 North Broad St,C-401, Philadelphia, PA 19140 USA
[2] Temple Univ, Dept Thorac Med & Surg, Lewis Katz Sch Med, 3401 North Broad St,C-501, Philadelphia, PA 19140 USA
来源：
GASTROENTEROLOGY CLINICS OF NORTH AMERICA | 2020年 / 49卷 / 03期
关键词：
Achalasia; Gastroesophageal junction; Cardiomyotomy; Heller myotomy; Peroral endoscopic myotomy; LAPAROSCOPIC HELLER MYOTOMY; RANDOMIZED CONTROLLED-TRIAL; MINIMALLY INVASIVE SURGERY; LOWER ESOPHAGEAL SPHINCTER; PROTON PUMP INHIBITORS; LONG-TERM OUTCOMES; GASTROESOPHAGEAL-REFLUX; PNEUMATIC DILATION; TRANSORAL FUNDOPLICATION; ELECTRICAL-STIMULATION;
D O I：
10.1016/j.gtc.2020.05.003
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
Achalasia is a progressive neurodegenerative disorder characterized by failure of relaxation of the lower esophageal sphincter (LES) and altered motility of the esophagus. The traditional, highly effective, surgical approach to relieve obstruction at the LES includes cardiomyotomy. Fun-doplication is added to decrease risk of postoperative reflux. Per oral endoscopic myotomy is a new endoscopic procedure that allows division of the LES via transoral route. It has several advantages including less invasiveness, cosmesis, and tailored approach to the length on the myotomy. However, it is associated with increased rate of post-procedural re-flux. Various endoscopic interventions are used to address this problem.
引用
收藏
页码：481 / +
页数：19
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