食道贲门失弛缓症治疗的演变。35 年历程纪实

IF 1.3 4区 医学 Q3 SURGERY
Marco G. Patti , Fernando A. Herbella
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引用次数: 0

摘要

过去几十年来,食道贲门失弛缓症的评估和治疗都取得了重大进展。如今,4.0 版的芝加哥分类法已成为诊断贲门失弛缓症的标准,它将贲门失弛缓症分为 3 个亚型,对治疗和预后都有重要影响。治疗方法最初主要局限于气压扩张术,如今则包括微创手术和口腔内镜下肌切开术,从而能够为患者提供更有针对性的治疗方法,并更好地治疗反复发作的症状。这篇综述记录了我个人在过去 35 年里治疗贲门失弛缓症的经历,描述了在治疗贲门失弛缓症患者方面取得的进展。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The evolution of the treatment of esophageal achalasia. Chronicle of a 35-year journey

The evolution of the treatment of esophageal achalasia. Chronicle of a 35-year journey

Over the last few decades, significant improvement has been made in both the evaluation and treatment of esophageal achalasia. The Chicago classification, today in version 4.0, is now the standard for diagnosis of achalasia, providing a classification into 3 subtypes with important therapeutic and prognostic implications. Therapy, which was at first mostly limited to pneumatic dilatation, today includes minimally invasive surgery and peroral endoscopic myotomy, allowing for a more tailored approach to patients and better treatment of recurrent symptoms. This review chronicles my personal experience with achalasia over the last 35 years, describing the progress made in the treatment of patients with achalasia.

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来源期刊
Cirugia Espanola
Cirugia Espanola SURGERY-
CiteScore
1.20
自引率
21.10%
发文量
173
审稿时长
53 days
期刊介绍: Cirugía Española, an official body of the Asociación Española de Cirujanos (Spanish Association of Surgeons), will consider original articles, reviews, editorials, special articles, scientific letters, letters to the editor, and medical images for publication; all of these will be submitted to an anonymous external peer review process. There is also the possibility of accepting book reviews of recent publications related to General and Digestive Surgery.
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