Gastroparesis managed with peroral endoscopic pyloromyotomy.
Gastroparesis managed with peroral endoscopic pyloromyotomy.
复制标题
通过经口内窥镜幽门肌切开术治疗胃轻瘫。
DOI：
10.1080/08998280.2019.1656007
复制
发表时间：
2020
期刊：
影响因子：
--
通讯作者：
Ward,MarcA
中科院分区：
文献类型：
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作者：
Clothier,JessicaS;Leeds,StevenG;Ebrahim,Ahmed;Ward,MarcA
胃轻瘫是在没有机械性梗阻的情况下胃排空延迟。病例归因于麻醉剂使用、吸烟、糖尿病和术后并发症;然而，一些发生率未知。治疗选择包括饮食调整，肠道刺激药物（例如，胃复安、多潘立酮）、腹腔镜幽门成形术，以及在最严重的情况下，胃部分切除术和Roux-en-Y重建术。近年来，经口内镜幽门肌切开术（POP）成为一种新的治疗方法。该手术类似于腹腔镜幽门成形术;然而，它完全在内窥镜下进行，因此不需要切口。在这里，我们提出了一个病例胃轻瘫治疗这种新技术。
Gastroparesis is delayed gastric emptying in the absence of mechanical obstruction. Cases are attributed to narcotic use, smoking, diabetes, and postsurgical complications; however, several incidences are unknown. Treatment options include diet modification, gut-stimulating medications (e.g., metoclopramide, domperidone), laparoscopic pyloroplasty, and, in the most severe cases, partial gastrectomy with Roux-en-Y reconstruction. Recently, a novel therapy has been developed, peroral endoscopic pyloromyotomy (POP). This procedure is similar to a laparoscopic pyloroplasty; however, it is performed completely endoscopically, thus negating the need for incisions. Here we present a case of gastroparesis treated with this novel technique.