Peroral endoscopic myotomy for esophageal achalasia

被引：13
作者：
Phalanusitthepha, Chainarong [1 ]
Inoue, Haruhiro [2 ]
Ikeda, Haruo [2 ]
Sato, Hiroki [2 ]
Sato, Chiaki [2 ]
Hokierti, Chananya [1 ]
机构：
[1] Mahidol Univ, Fac Med Siriraj Hosp, Div Gen Surg, Dept Surg,Minimally Invas Surg unit, Bangkok, Thailand
[2] Showa Univ Northern Yokohama Hosp, Dis Ctr, Tsuzuki Ku, Yokohama, Kanagawa 2248503, Japan
来源：
ANNALS OF TRANSLATIONAL MEDICINE | 2014年 / 2卷 / 03期
关键词：
Achalasia; peroral endoscopic myotomy (POEM);
D O I：
10.3978/j.issn.2305-5839.2014.02.04
中图分类号：
R73 [肿瘤学];
学科分类号：
100214 ;
摘要：
Peroral endoscopic myotomy (POEM) is one of the alternative treatment for achalasia. Due to concept of natural orifice transluminal endoscopic surgery (NOTES), it becomes popular and widely accepted. With the endoluminal technique, submucosal tunnel was created followed by endoscopic myotomy. POEM is not only indicated in classical achalasia but also other abnormal esophageal motility disorders. Moreover, failures of endoscopic treatment or surgical attempted cases are not contraindicated for POEM. The second attempted POEM is also safe and technically feasible. Even though the legend of success of POEM is fruitful, the possible complications are very frightened. Good training and delicate practice will reduce rate of complications. This review provides a summary of current state-of-the-art of POEM, including indication equipments, technique and complications. This perfect procedure may become the treatment of choice of achalasia and some esophageal motility disorders in the near future.
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页数：9
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