Research progress on clinical application of high resolution esophageal manometry in the treatment of achalasia through peroral endoscopic myotomy

Achalasia (AC) is a primary disorder of esophageal motility, for which current treatments are only able to alleviate symptoms, but cannot cure the disease. Peroral endoscopic myotomy (POEM) is the most effective endoscopic technique for the treatment of AC, and has emerged as the preferred treatment...

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Main Authors: YANG Chunyu, DONG Xiangqian
Format: Article
Language:zho
Published: Editorial Office of New Medicine 2024-10-01
Series:Yixue xinzhi zazhi
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Online Access:https://yxxz.whuznhmedj.com/futureApi/storage/attach/2411/ha3EP2v022rfOgGtcRvxxm4o3wNTMUofvGTWMm76.pdf
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author YANG Chunyu
DONG Xiangqian
author_facet YANG Chunyu
DONG Xiangqian
author_sort YANG Chunyu
collection DOAJ
description Achalasia (AC) is a primary disorder of esophageal motility, for which current treatments are only able to alleviate symptoms, but cannot cure the disease. Peroral endoscopic myotomy (POEM) is the most effective endoscopic technique for the treatment of AC, and has emerged as the preferred treatment modality. The diagnosis and treatment of AC, as well as the selection of POEM surgical approaches, have long been contentious topics. Therefore, this paper summarized the clinical value of high resolution esophageal manometry (HREM) in the diagnosis of AC, the formulation of POEM surgical strategy, and the prediction and evaluation of postoperative efficacy to enhance clinicians' awareness of the importance of routinely performing HREM in the diagnosis and treatment of AC, and to enhance the therapeutic efficacy of POEM when treating AC. On this basis, the future optimization of POEM for the diagnosis and treatment of AC was projected.
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publisher Editorial Office of New Medicine
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spelling doaj-art-238b12fc68e1490584e6fd5d2c53bcf82025-08-20T02:39:56ZzhoEditorial Office of New MedicineYixue xinzhi zazhi1004-55112024-10-0134101170117710.12173/j.issn.1004-5511.2024080316552Research progress on clinical application of high resolution esophageal manometry in the treatment of achalasia through peroral endoscopic myotomyYANG ChunyuDONG XiangqianAchalasia (AC) is a primary disorder of esophageal motility, for which current treatments are only able to alleviate symptoms, but cannot cure the disease. Peroral endoscopic myotomy (POEM) is the most effective endoscopic technique for the treatment of AC, and has emerged as the preferred treatment modality. The diagnosis and treatment of AC, as well as the selection of POEM surgical approaches, have long been contentious topics. Therefore, this paper summarized the clinical value of high resolution esophageal manometry (HREM) in the diagnosis of AC, the formulation of POEM surgical strategy, and the prediction and evaluation of postoperative efficacy to enhance clinicians' awareness of the importance of routinely performing HREM in the diagnosis and treatment of AC, and to enhance the therapeutic efficacy of POEM when treating AC. On this basis, the future optimization of POEM for the diagnosis and treatment of AC was projected.https://yxxz.whuznhmedj.com/futureApi/storage/attach/2411/ha3EP2v022rfOgGtcRvxxm4o3wNTMUofvGTWMm76.pdfachalasiahigh resolution esophageal manometryperoral endoscopic myotomytreatment effcts
spellingShingle YANG Chunyu
DONG Xiangqian
Research progress on clinical application of high resolution esophageal manometry in the treatment of achalasia through peroral endoscopic myotomy
Yixue xinzhi zazhi
achalasia
high resolution esophageal manometry
peroral endoscopic myotomy
treatment effcts
title Research progress on clinical application of high resolution esophageal manometry in the treatment of achalasia through peroral endoscopic myotomy
title_full Research progress on clinical application of high resolution esophageal manometry in the treatment of achalasia through peroral endoscopic myotomy
title_fullStr Research progress on clinical application of high resolution esophageal manometry in the treatment of achalasia through peroral endoscopic myotomy
title_full_unstemmed Research progress on clinical application of high resolution esophageal manometry in the treatment of achalasia through peroral endoscopic myotomy
title_short Research progress on clinical application of high resolution esophageal manometry in the treatment of achalasia through peroral endoscopic myotomy
title_sort research progress on clinical application of high resolution esophageal manometry in the treatment of achalasia through peroral endoscopic myotomy
topic achalasia
high resolution esophageal manometry
peroral endoscopic myotomy
treatment effcts
url https://yxxz.whuznhmedj.com/futureApi/storage/attach/2411/ha3EP2v022rfOgGtcRvxxm4o3wNTMUofvGTWMm76.pdf
work_keys_str_mv AT yangchunyu researchprogressonclinicalapplicationofhighresolutionesophagealmanometryinthetreatmentofachalasiathroughperoralendoscopicmyotomy
AT dongxiangqian researchprogressonclinicalapplicationofhighresolutionesophagealmanometryinthetreatmentofachalasiathroughperoralendoscopicmyotomy