Current Status and Progress of Peroral Endoscopic Myotomy in Treatment of Achalasia of Cardia
10.3969/j.issn.1008-7125.2017.01.013
- VernacularTitle:经口内镜下肌切开术治疗贲门失弛缓症的现状和进展
- Author:
Fenting LI
;
Xinxin GAO
;
Xin WANG
;
Huahong XIE
- Keywords:
Achalasia of Cardia;
Peroral Endoscopic Myotomy;
Therapy;
Postoperative Complications
- From:
Chinese Journal of Gastroenterology
2017;22(1):55-58
- CountryChina
- Language:Chinese
-
Abstract:
Achalasia of cardia caused by neuromuscular dysfunction at esophagus-stomach junction is a functional disease of esophageal dynamic dysfunction. It is characterized by absence of peristalsis of esophageal body and failure of the lower esophageal sphincter to relax. The methods of therapy include botulinum toxin injection, stent placement, laparoscopic Heller myotomy and balloon dilatation. However,these methods have some shortages,such as easy to recur, causing larger trauma,etc. . With the development of technology of endoscopy,a new method peroral endoscopic myotomy ( POEM)is widely used in clinical practice,and it can used in some special patients such asⅢ type achalasia,pediatric and elderly patients,as well as sigmoid-type achalasia. This article reviewed the current status and progress of POEM in treatment of achalasia of cardia.
