フルテキストURL K0005674_abstract_review.pdf K0005674_summary.pdf K0005674_fulltext.pdf
著者 加藤 諒|
備考 岡山大学審査学位論文 Published in Acta Medica Okayama. 72(2), 105-113(2018)
発行日 2018-03-23
資料タイプ 学位論文
学位授与番号 甲第5674号
学位授与年月日 2018-03-23
学位・専攻分野 博士(医学)
授与大学 岡山大学
学位論文本文 学位論文(フルテキストURL参照)
言語 English
OAI-PMH Set 岡山大学
論文のバージョン ETD
Grant ID 15301甲第5674号
PubMed ID 29674758
タイトル(別表記) Achalasia treated with per-oral endoscopic myotomy (POEM)
著者 杉原 雄策| 原田 馨太| 加藤 諒| 山内 健司| 高嶋 志保| 竹井 大介| 井口 俊博| 高原 政宏| 川野 誠司| 平岡 佐規子| 田辺 俊介| 野間 和宏| 白川 靖博| 眞部 紀明| 井上 晴洋| 岡田 裕之|
抄録 Esophageal achalasia is a disorder of the lower esophageal sphincter muscle. Patients present with dysphagia, chest pain, vomiting, and aspiration. Esophageal achalasia had traditionally been treated with esophageal achalasia balloon dilatation and the Heller-Dor method, but in recent years, the use of per-oral endoscopic myotomy (POEM) has increased. Our patient, a 39-yr-old male, began experiencing dysphagia 4 years prior to his referral to our hospital. Based on the results of esophagogastroduodenoscopy, esophageal radiography and high-resolution manometry, we made the diagnosis of esophageal achalasia (Chicago classification type I) . After informed consent from the patient and his family and approval from our hospital's ethics committee were obtained, we performed a POEM. The patient was discharged on the 4th day post-surgery. At the 1-year post-operative examination, no worsening of symptoms and no relapse were observed. POEM is an excellent treatment method for esophageal achalasia from the perspective of therapeutic effect and prevention of invasion. We recommend that it be considered as the first-choice treatment for achalasia. However, accessibility to the procedure itself is limited due to the few adequately trained operators worldwide. POEM should thus be performed by an expert operator at a high-volume center.
キーワード POEM 食道アカラシア (esophageal achalasia)
備考 症例報告(Case Reports)
出版物タイトル 岡山医学会雑誌
発行日 2017-08-01
129巻
2号
出版者 岡山医学会
出版者(別表記) Okayama Medical Association
開始ページ 115
終了ページ 121
ISSN 0030-1558
NCID AN00032489
資料タイプ 学術雑誌論文
関連URL https://doi.org/10.4044/joma.129.115
言語 Japanese
著作権者 Copyright (c) 2017 岡山医学会
論文のバージョン publisher
査読 有り
DOI 10.4044/joma.129.115
Sort Key 9
Eprints Journal Name joma
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