胃食管反流的内镜治疗:叙述性回顾。

Samuel Oliveira Lopes, Ana Raquel Gonçalves, Guilherme Macedo, João Santos-Antunes
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引用次数: 0

摘要

胃食管反流病(GERD)是一种常见的慢性疾病,影响着全世界三分之一的人口。近年来,诊断检查取得了重大进展,可以更好地识别与反流相关的并发症。传统上,主要的治疗方法是质子泵抑制剂和生活方式和饮食改变。对于难治性反流,金标准疗法是手术抗反流程序。最近,内窥镜手术已经成为安全有效的手术替代方案。这可能是一种侵入性较小的方法,发病率低,耐受性好。本报告讨论了治疗胃食管反流的现有内镜技术,强调了它们的潜在优势,旨在帮助确定这些患者的最佳治疗方法。未来有更多患者参与的研究,可能会确定这些技术在胃食管反流治疗中的明确作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Endoscopic treatment of gastroesophageal reflux: a narrative review.

Gastroesophageal reflux disease (GERD) is a common chronic disease that affects one-third of the population worldwide. In recent years, there have been significant advances for diagnostic workup, which leads to better identification of reflux-related complications. Classically, the mainstay of therapy has been proton pump inhibitor and lifestyle and dietary modifications. For refractory GERD the gold-standard therapies are surgical antireflux procedures. Recently, endoscopic procedures have emerged as safe and efficient alternatives to surgery. These could represent a less invasive approach, with scarce morbidity and with a well-tolerated profile. Each of the existing endoscopic techniques for the treatment of GERD are addressed in this report, highlighting their potential advantages, aiming at helping decide the best management of these patients. Future studies, with larger numbers of patients, may allow a definitive role for these techniques in the management of GERD to be established.

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