期刊
GASTROENTEROLOGY CLINICS OF NORTH AMERICA
卷 49, 期 3, 页码 481-+出版社
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.gtc.2020.05.003
关键词
Achalasia; Gastroesophageal junction; Cardiomyotomy; Heller myotomy; Peroral endoscopic myotomy
资金
- NIH/NCI Cancer Center Support Grant [P30 CA006927]
Achalasia is a progressive neurodegenerative disorder characterized by failure of relaxation of the lower esophageal sphincter (LES) and altered motility of the esophagus. The traditional, highly effective, surgical approach to relieve obstruction at the LES includes cardiomyotomy. Fun-doplication is added to decrease risk of postoperative reflux. Per oral endoscopic myotomy is a new endoscopic procedure that allows division of the LES via transoral route. It has several advantages including less invasiveness, cosmesis, and tailored approach to the length on the myotomy. However, it is associated with increased rate of post-procedural re-flux. Various endoscopic interventions are used to address this problem.
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