经口内镜幽门肌切开术在治疗胃轻瘫中的应用及研究现状

Gastric Peroral Endoscopic Pyloromyotomy(G-POEM) for Gastric Paresis: Current Application and Research Status

摘要:

【摘要】胃轻瘫,也称胃无力、胃麻痹,是一种以胃排空延迟为特征的的临床症候群,显著影响患者的生活质量,而有效的治疗方法非常有限。2013年第一例经口内镜幽门肌切开术(G-POEM)的报道,为治疗顽固性胃轻瘫带来了新的思路。其安全性和有效也在随后的病例系列报道中得到证实。作为一种新兴的经自然孔道腔内内镜手术(NOTES)方法,G-POEM越来越多地被研究与关注。现谨对G-POEM方法及在治疗胃轻瘫中的应用及研究现状做一综述。

Abstract:

Abstract: Gastric paresis is a chronic debilitating disease, which characterized by symptoms of delayed gastric emptying, for which there is no effective endoscopic treatment option. The first case of Gastric peroralendoscopic pyloromyotomy (G-POEM) offered a new way to deal with the problem of gastroparesis. Its safety and efficacy had also been proved in the case series afterwards. As an emerging method of natural orifice translumenal endoscopic surgery, G-POEM gained more and more attention. Therefore, this review were aimed to summarized the current application and research status of G-POEM for gastric paresis.