腔内功能性管腔成像探头(Endoflip™)是一种基于球囊的导管,可提供实时、关于任何括约肌在胃肠道中的扩张性的客观反馈。功能性管腔成像探头(FLIP)的使用尚未标准化,这限制了已发表数据的解释和概括性。此共识声明的目的是提供用于获得FLIP测量的标准化协议,以便创建更统一的数据收集方法。
五位专家前肠外科医生,所有这些人在日常练习中都使用FLIP系统,于2019年3月19日召开,旨在创建在食管裂孔疝修复和胃底折叠术期间获得FLIP测量的标准化方案,磁性括约肌增强,腹腔镜Heller肌切开术,经口内镜肌切开术。介绍并回顾了现有文献。对议定书的每一步都进行了详细讨论,直到达成一致共识。
开发了一种标准化方案,用于在食管裂孔疝修补术和胃底折叠术期间获得FLIP测量值。磁性括约肌增强,腹腔镜Heller肌切开术,经口内镜肌切开术。
FLIP阻抗测量系统是唯一可用的技术,可为外科医生提供客观的方法来评估术中胃底折叠术的紧密度或肌切开术的充分性。尽管仍有大量研究将FLIP测量值与患者预后相关联,这一共识声明将为FLIP用户提供数据收集的标准化,从而增强对未来研究结果的理解.
The Endoluminal Functional Lumen Imaging Probe (Endoflip™) is a balloon-based catheter that provides real-time, objective feedback regarding the distensibility of any sphincter in the gastrointestinal tract. Usage of the Functional Lumen Imaging Probe (FLIP) has not been standardized, which has limited the interpretation and generalizability of published data. The purpose of this
consensus statement is to provide a standardized protocol for obtaining FLIP measurements in order to create a more uniform approach to data collection.
Five expert foregut surgeons, all of whom utilize the FLIP system in their daily practice, convened on March 19, 2019, to create a standardized protocol for obtaining FLIP measurements during hiatal hernia repair and fundoplication, magnetic sphincter augmentation, laparoscopic Heller myotomy, and peroral endoscopic
myotomy. Existing literature was presented and reviewed. Each step of the protocol was discussed in detail until a unanimous
consensus was reached.
A standardized protocol was developed for obtaining FLIP measurements during hiatal hernia repair and fundoplication, magnetic sphincter augmentation, laparoscopic Heller myotomy, and peroral endoscopic
myotomy.
The FLIP impedance planimetry system is the only technology available that provides surgeons an objective way to assess the tightness of a fundoplication or adequacy of a myotomy during an operation. While considerable research remains to correlate FLIP measurements to patient outcomes, this
consensus statement will provide standardization of data collection among FLIP users that will enhance the understanding of future study results.