지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.1
- 수록면
- 127 - 130 (4page)
이용수
초록· 키워드
오류제보하기
Achalasia is a neurodegenerative motility disorder caused by enteric neuron damage in the lower esophageal sphincter. Peroralendoscopic myotomy (POEM) is a standard treatment method for achalasia. Previous treatment modalities may affect theoutcome of POEM as they cause submucosal fibrosis. We report a new technique called “hybrid POEM” for the treatment ofpatients with achalasia who had been previously treated with pneumatic balloon dilatation. We performed two techniques ofPOEM simultaneously, the standard POEM for the upper part of the submucosal tunnel and open POEM for the stenotic part ofthe esophagogastric junction. We dissected the mucosa and submucosa, and performed myotomy simultaneously. We overcamesubmucosal fibrosis of the esophagogastric junction, which was caused by the previous hybrid POEM treatment. The risks ofmucosal incision and technical challenge of submucosal tunneling for the fibrotic area may be reduced by hybrid POEM.
목차
등록된 정보가 없습니다.
참고문헌 (8)
참고문헌 신청
Giovanni Zaninotto / 2019 / Management of achalasia in 2019 / Current Opinion in Gastroenterology 35(4):356~362
Inoue H / 2010 / Peroral endoscopic myotomy(POEM)for esophageal achalasia / Endoscopy 42:265~271
Wu QN / 2017 / Submucosal fibrosis in achalasia patients is a rare cause of aborted peroral endoscopic myotomy procedures / Endoscopy 49:736~744
Nabi Z / 2018 / Peroral endoscopic myotomy in treatment-naïve achalasia patients versus prior treatment failure cases / Endoscopy 50:358~370
Sharata A / 2013 / Peroral endoscopic myotomy(POEM)is safe and effective in the setting of prior endoscopic intervention / J Gastrointest Surg 17:1188~1192
Inoue H / 2010 / Peroral endoscopic myotomy(POEM)for esophageal achalasia / Endoscopy 42:265~271
Wu QN / 2017 / Submucosal fibrosis in achalasia patients is a rare cause of aborted peroral endoscopic myotomy procedures / Endoscopy 49:736~744
Nabi Z / 2018 / Peroral endoscopic myotomy in treatment-naïve achalasia patients versus prior treatment failure cases / Endoscopy 50:358~370
Sharata A / 2013 / Peroral endoscopic myotomy(POEM)is safe and effective in the setting of prior endoscopic intervention / J Gastrointest Surg 17:1188~1192
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