PDF(Pubmed)
Abstract：
BACKGROUND: Peroral endoscopic myotomy (POEM) is an established treatment option for esophageal achalasia. However, technical challenges and failures exist. Submucosal fibrosis is a rare cause of aborted POEM procedures.
METHODS: We performed POEM with an elastic ring for achalasia with obvious submucosal fibrosis. The short-term outcome was excellent, surgery time was significantly shorter, and success rate was higher with POEM for achalasia with obvious submucosal fibrosis.
CONCLUSIONS: POEM performed with an elastic ring is a feasible and effective endoscopic treatment modality for achalasia with obvious submucosal fibrosis.
METHODS: We performed POEM with an elastic ring for achalasia with obvious submucosal fibrosis. The short-term outcome was excellent, surgery time was significantly shorter, and success rate was higher with POEM for achalasia with obvious submucosal fibrosis.
CONCLUSIONS: POEM performed with an elastic ring is a feasible and effective endoscopic treatment modality for achalasia with obvious submucosal fibrosis.
摘要：
背景：经口内镜下肌切开术（POEM）是食管门失弛缓症的既定治疗选择。然而,存在技术挑战和失败。粘膜下纤维化是POEM手术中止的罕见原因。
方法：我们对具有明显粘膜下纤维化的贲门失弛缓症进行了带有弹性环的POEM。短期结果很好，手术时间明显缩短,POEM治疗贲门失弛缓伴明显黏膜下纤维化的成功率较高。
结论：用弹性环进行POEM是一种可行且有效的内镜治疗贲门失弛缓症并明显的粘膜下纤维化的方法。
方法：我们对具有明显粘膜下纤维化的贲门失弛缓症进行了带有弹性环的POEM。短期结果很好，手术时间明显缩短,POEM治疗贲门失弛缓伴明显黏膜下纤维化的成功率较高。
结论：用弹性环进行POEM是一种可行且有效的内镜治疗贲门失弛缓症并明显的粘膜下纤维化的方法。
