Systematic Review of Treatment of Patients with Achalasia: Heller Myotomy, Pneumatic Dilation, and Peroral Endoscopic Myotomy.

Hailie Ciomperlik,Naila H Dhanani,Cassandra Mohr,Craig Hannon,Oscar A Olavarria,Julie L Holihan,Mike K Liang

Journal of the American College of Surgeons（2023）

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摘要

The treatment of achalasia should be chosen in accordance with patient goals. After any of the 3 interventions, QOL appears to be similar. However, peroral endoscopic myotomy may be associated with the lowest rates of perforation/leak, dysphagia, and reintervention and may be the lowest risk option. However, there are barriers to widespread use due to challenges in training and adoption.

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关键词

achalasia,heller myotomy,endoscopic,pneumatic dilation,systematic review

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