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首页> 外文期刊>The American surgeon. >Laparoscopic Heller Myotomy versus Per Oral Endoscopic Myotomy: Evidence-Based Approach to the Treatment of Esophageal Achalasia
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Laparoscopic Heller Myotomy versus Per Oral Endoscopic Myotomy: Evidence-Based Approach to the Treatment of Esophageal Achalasia

机译：腹腔镜Heller Myotomy与每个口腔内窥镜肌动术：基于证据的食管贲门刺激的方法

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摘要

Esophageal achalasia is a rare disorder characterized by a failure of the lower esophageal sphincter to relax during swallowing, combined with aperistalsis of the esophageal body. Treatment is not curative, but aims to eliminate the outflow resistance caused by the nonrelaxing lower esophageal sphincter. Current evidence suggests that both laparoscopic Heller myotomy and per oral endoscopic myotomy (POEM) are very effective in the relief of symptoms in patients with achalasia. Specifically, for type III achalasia, POEM may achieve higher success rates. However, POEM is associated to a very high incidence of pathologic reflux, with the risk of exchanging one disease-achalasia-with another-gastroesophageal reflux.
机译：食管贲门刺症是一种罕见的疾病，其特征在于，在吞咽期间，较低的食道括约肌失败，与食管体的aperistalsis联系在一起。 治疗不是疗效，但旨在消除非含有较低食管括约肌引起的流出抗性。 目前的证据表明，腹腔镜Heller Myotomy和每个口腔内窥镜肌动术（诗歌）在患者患者的症状中非常有效。 具体而言，对于III型Achalasia，诗歌可以实现更高的成功率。 然而，POEM与病理回流的发病率很高，风险与另一种胃食管反流交换一种疾病 - 肺癌。

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