经口内镜食管下括约肌切开术治疗贲门失弛缓症的操作步骤现状

Current status of procedure of peroral endoscopic myotomy for treatment of achalasia

自2010年首次报道以来,经口内镜食管下括约肌切开术(POEM)已成为治疗贲门失弛缓症(AC)的一线治疗方法,其疗效令人满意。POEM操作步骤相对复杂,经过临床10余年来的改良,降低了其操作难度,并降低了并发症发生率,提高了疗效。现就POEM操作步骤现状做一综述。

Since its first report in 2010,peroral endoscopic myotomy(POEM)has become the first-line treatment for achalasia of cardia with satisfactory results.The operative procedure of POEM is relatively complex,after more than 10 years of clinical improvement,the difficulty of operation is reduced,the incidence of complications is reduced,and the curative effect is improved.Herein,we review the current status of operative procedure of POEM.