Achalasia 2016: Treatment Alternatives

被引：6

作者：

Herbella, Fernando A. M. ^{[1
]}

Moura, Eduardo G. H. ^{[2
]}

Patti, Marco G. ^{[3
]}

机构：

[1] Univ Fed Sao Paulo, Escola Paulista Med, Dept Surg, Rua Diogo de Faria 1087 Cj 301, BR-04037003 Sao Paulo, SP, Brazil

[2] Univ Sao Paulo, Dept Gastroenterol, Sao Paulo, Brazil

[3] Univ N Carolina, Dept Surg, Chapel Hill, NC USA

来源：

JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES | 2017年 / 27卷 / 01期

关键词：

achalasia; dysphagia; gastroesophageal reflux; laparoscopic Heller myotomy; per oral endoscopic myotomy; pneumatic dilatation; LAPAROSCOPIC HELLER MYOTOMY; PERORAL ENDOSCOPIC MYOTOMY; RANDOMIZED CONTROLLED-TRIAL; PNEUMATIC DILATION; ESOPHAGEAL ACHALASIA; BALLOON DILATATION; OUTCOMES; FUNDOPLICATION; POEM; COMPLICATIONS;

D O I：

10.1089/lap.2016.0468

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

The treatment for achalasia changed dramatically after the introduction of minimally invasive surgery. Since 1991, laparoscopic Heller myotomy (LHM) has replaced pneumatic dilatation (PD) as the primary form of treatment in many centers. Over time, PD became safer, and eventually endoscopic experts were able to perform an endoscopic myotomy via a per oral endoscopic myotomy (POEM). This article reviews the advantages and disadvantages of each technique. Ultimately, the best outcomes are obtained by a multidisciplinary team that can tailor a specific treatment to each individual patient.

引用

页码：6 / 11

页数：6

共 49 条

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