RESULTS: There is uncertainty regarding several technical aspects of the POEM myotomy; though aggregating evidence supports the use of real-time impedance planimetry to guide the myotomy. While post-POEM reflux remains a concerning long term sequela, there is an increasing focus on the potential role of endoscopic anti-reflux interventions. Lastly, with the widespread adoption of POEM, we continue to witness ongoing efforts to standardize post-procedural care and training in this procedure. POEM is no longer a novel but rather established procedure. Yet, this technique has continued to evolve, with the aim of optimizing treatment success while reducing adverse events and risk for post-procedural reflux.
结果:关于POEM肌切开术的几个技术方面存在不确定性;尽管聚集的证据支持使用实时阻抗平面分析法来指导肌切开术。虽然POEM后的反流仍然是一个令人担忧的长期后遗症,人们越来越关注内镜抗反流干预的潜在作用.最后,随着POEM的广泛采用,我们继续目睹在这一程序中标准化程序后护理和培训的持续努力。POEM不再是一个新颖的程序,而是既定的程序。然而,这项技术不断发展,目的是优化治疗成功率,同时减少不良事件和术后反流风险。