Gastric peroral endoscopic myotomy(G-POME)is an emerging minimally invasive endoscopic technique involving the establishment of a submucosal tun-nel around the pyloric sphincter.In 2013,Khashab et al used G-POME for t...Gastric peroral endoscopic myotomy(G-POME)is an emerging minimally invasive endoscopic technique involving the establishment of a submucosal tun-nel around the pyloric sphincter.In 2013,Khashab et al used G-POME for the first time in the treatment of gastroparesis with enhanced therapeutic efficacy,prov-iding a new direction for the treatment of gastroparesis.With the recent and rapid development of G-POME therapy technology,progress has been made in the treatment of gastroparesis and other upper digestive tract diseases,such as congenital hypertrophic pyloric stenosis and gastric sleeve stricture,with G-POME.This article reviews the research progress and future prospects of G-POME for the treatment of upper digestive tract gastrointestinal diseases.展开更多
目的 探讨黄斑马导丝引导下置入三腔喂养管对上消化道狭窄患者的应用效果。方法 选取43例上消化道狭窄患者,随机分为A组( n =21,经胃镜活检孔插入鼠齿钳置入三腔喂养管)和B组( n =22,经黄斑马导丝引导下置入三腔喂养管),比较两组置管成...目的 探讨黄斑马导丝引导下置入三腔喂养管对上消化道狭窄患者的应用效果。方法 选取43例上消化道狭窄患者,随机分为A组( n =21,经胃镜活检孔插入鼠齿钳置入三腔喂养管)和B组( n =22,经黄斑马导丝引导下置入三腔喂养管),比较两组置管成功率、置管时间及相关并发症。结果 A组置管时间为( 27.43± 6.68)min,高于B组置管时间[(8.95±2.54) min],差异有统计学意义( t =11.879, P <0.05)。A组一次置管成功率为57.1%(12/21),低于B组的置管成功率[95.5%(21/22)],差异有统计学意义(χ^2= 6.820 , P < 0.05 )。A组并发症发生率为42.9%(9/21),明显高于B组并发症发生率[13.6%(3/22)],差异有统计学意义(χ^2= 4.560 , P <0.05)。结论 经胃镜黄斑马导丝引导三腔喂养管应用于上消化道狭窄患者置管时间短、成功率高、并发症少,值得临床推广使用。展开更多
文摘Gastric peroral endoscopic myotomy(G-POME)is an emerging minimally invasive endoscopic technique involving the establishment of a submucosal tun-nel around the pyloric sphincter.In 2013,Khashab et al used G-POME for the first time in the treatment of gastroparesis with enhanced therapeutic efficacy,prov-iding a new direction for the treatment of gastroparesis.With the recent and rapid development of G-POME therapy technology,progress has been made in the treatment of gastroparesis and other upper digestive tract diseases,such as congenital hypertrophic pyloric stenosis and gastric sleeve stricture,with G-POME.This article reviews the research progress and future prospects of G-POME for the treatment of upper digestive tract gastrointestinal diseases.
文摘目的 探讨黄斑马导丝引导下置入三腔喂养管对上消化道狭窄患者的应用效果。方法 选取43例上消化道狭窄患者,随机分为A组( n =21,经胃镜活检孔插入鼠齿钳置入三腔喂养管)和B组( n =22,经黄斑马导丝引导下置入三腔喂养管),比较两组置管成功率、置管时间及相关并发症。结果 A组置管时间为( 27.43± 6.68)min,高于B组置管时间[(8.95±2.54) min],差异有统计学意义( t =11.879, P <0.05)。A组一次置管成功率为57.1%(12/21),低于B组的置管成功率[95.5%(21/22)],差异有统计学意义(χ^2= 6.820 , P < 0.05 )。A组并发症发生率为42.9%(9/21),明显高于B组并发症发生率[13.6%(3/22)],差异有统计学意义(χ^2= 4.560 , P <0.05)。结论 经胃镜黄斑马导丝引导三腔喂养管应用于上消化道狭窄患者置管时间短、成功率高、并发症少,值得临床推广使用。
