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What the radiologist needs to know about gastrointestinal endoscopic surgical procedures

机译：放射科医生需要了解胃肠内镜外科手术

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Natural orifice transluminal endoscopic surgery (NOTES) is a novel surgical approach, currently performed for an array of conditions. Endoscopic procedures offer significant benefits, including lower cost, no surgical incisions, and shorter hospital stays. These advantages align with the current trends in health care, namely a push for "cost-effective care." There are a multitude of health issues which are now being addressed by the endoscopic surgical approach, including peroral endoscopic myotomy (POEM), which is a relatively new technique used in the treatment of achalasia. Endoscopic treatment utilized for GERD includes transoral incisionless fundoplication. Endoscopic bariatric surgical procedures include intragastric balloon placement, endoscopic sleeve gastroplasty, and revision of prior bariatric procedures including Roux-en-Y gastric bypass and conventional gastric sleeve procedures. Endoscopic clips are routinely utilized for achieving hemostasis, treating iatrogenic gastric and bowel ulcerations and perforations and for the closure of enteric fistulization. Novel endoscopic procedures are now replacing conventional surgery due to their non-invasive nature, faster recovery and lower healthcare costs. Radiologists need to understand how these procedures are performed, as well as expected post-procedural imaging appearance and potential complications.
机译：天然孔口腔室内窥镜手术（笔记）是一种新型手术方法，目前用于条件阵列。内窥镜程序提供了显着的益处，包括较低的成本，没有手术切口，以及较短的医院住宿。这些优势与当前的医疗保健趋势保持一致，即推动“经济高效的关怀”。目前存在多种健康问题，目前正在通过内窥镜手术方法来解决，包括运动内窥镜肌肌瘤（诗歌），这是一种用于治疗贲门刺症的相对较新的技术。用于GERD的内窥镜处理包括多种故障的基础强制性。内镜肥胖症外科手术包括胃内颅球，内窥镜套筒腹膜成形术，以及先前的肥胖手术的修订，包括Roux-en-Y胃旁路和常规胃套手术。内窥镜夹常规用于实现止血，治疗胃肠和肠道溃疡和穿孔以及肠瘘的闭合。目前，新型内镜手术因其非侵入性而替代常规手术，更快地恢复和较低的医疗费用。放射科医生需要了解如何进行这些程序，以及预期的程序后成像外观和潜在的并发症。

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