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首页> 外文期刊>Surgical Endoscopy >Peroral endoscopic myotomy for the treatment of esophageal diverticulum: an experience in China
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Peroral endoscopic myotomy for the treatment of esophageal diverticulum: an experience in China

机译：对食管憩室治疗的运动内窥镜肌动术：中国的经验

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Background With the development of minimally invasive endoscopic approaches for the esophagus in recent years, peroral endoscopic myotomy (POEM) in the treatment of esophageal diverticulum has been described recently in some reports due to its successful outcomes. The aim of this study is to report our experience with the use of diverticular POEM (D-POEM) technique in the management of esophageal diverticulum. Methods This retrospective study included consecutive patients with symptomatic esophageal diverticulum who visited our endoscopy center between April 2014 and January 2019. D-POEM was performed based on the principles of submucosal endoscopy. A new symptomatic scoring system was introduced to evaluate the severity of diverticular symptoms. Results A total of 10 patients with esophageal diverticulum (Zenker's 2, mid-esophagus 5, and epiphrenic 3) were included. The overall technical success rate of D-POEM was 100%, with a mean procedure time of 38.9 +/- 20.5 (range 16-70) min. No serious complications occurred. Clinical improvement was achieved in 90% (9/10) of patients. The symptomatic score was significantly decreased from 2.5 (IQR 2.00-3.25) to 1.0 (IQR 0-1.25) (P = 0.007) during a median follow-up period of 11.0 (IQR 10.25-17.25) months. Conclusion These findings suggested complete septotomy by D-POEM. Our preliminary data and experience put forwarded D-POEM as a safe and effective technique for esophageal diverticulum.
机译：背景近年来，随着食管微创内镜手术的发展，经口内镜下肌切开术（POME）治疗食管憩室的成功结果最近在一些报道中得到了描述。本研究的目的是报告我们在食管憩室管理中使用憩室诗（D-POEM）技术的经验。方法这项回顾性研究包括2014年4月至2019年1月期间访问我们内镜中心的症状性食管憩室连续患者。根据粘膜下内镜检查的原理进行D-POME检查。引入了一种新的症状评分系统来评估憩室症状的严重程度。结果共有10例食管憩室患者（Zenker's 2例，食管中部5例，膈上3例）入选。D-POEM的总体技术成功率为100%，平均手术时间为38.9+/-20.5（范围16-70）min。未发生严重并发症。90%（9/10）的患者取得了临床改善。在11.0（IQR 10.25-17.25）个月的中位随访期内，症状评分从2.5（IQR 2.00-3.25）显著下降至1.0（IQR 0-1.25）（P=0.007）。结论这些发现提示D-POEM可以完成鼻中隔切开术。我们的初步数据和经验表明，D-POEM是治疗食管憩室安全有效的技术。

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