Tom 11, Nr 1 (2019)
Artykuły
Opublikowany online: 2019-05-02
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Przezustna endoskopowa miotomia (POEM) — evidence based medicine
Gastroenterologia Kliniczna 2019;11(1):21-23.
Streszczenie
Przezustna endoskopowa miotomia to dowód olbrzymiego postępu w leczeniu chorych z zaburzeniami połykania związanymi z achalazją przełyku. Dzięki wykonaniu kanału w ścianie przełyku zaczynającego się kilkanaście centymetrów powyżej wpustu — przecina się mięśniówkę w obrębie dolnego zwieracza przełyku. Stanowi to alternatywę dla leczenia chirurgicznego i brutalnego rozrywania mięśniówki przełyku balonem. Zabieg jest bezpieczny i skuteczny.
Słowa kluczowe: przezustna endoskopowa miotomia (POEM)medycyna oparta na faktach
Referencje
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- Von Renteln D, Fuchs KH, Fockens P, et al. Peroral endoscopic myotomy for the treatment of achalasia: an international prospective multicenter study. Gastroenterology. 2013; 145(2): 309–311.e1.
- Barbieri LA, Hassan C, Rosati R, et al. Systematic review and meta-analysis: efficacy and safety of POEM for achalasia. United European Gastroenterol J. 2015; 3(4): 325–334.
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- Greenleaf EK, Winder JS, Hollenbeak CS, et al. Cost-effectiveness of per oral endoscopic myotomy relative to laparoscopic Heller myotomy for the treatment of achalasia. Surg Endosc. 2018; 32(1): 39–45.
- Miller HJ, Neupane R, Fayezizadeh M, et al. POEM is a cost-effective procedure: cost-utility analysis of endoscopic and surgical treatment options in the management of achalasia. Surg Endosc. 2017; 31(4): 1636–1642.
