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Effect of three tongue needles acupoints Lianquan(CV23) and Hegu(LI4) combined with swallowing training on the quality of life of laryngeal cancer patients with dysphagia after surgery

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Journal of Traditional Chinese Medicine 2022年第4期42卷 617-621页

作者： ZHU Xuewei LIU Minghui ZONG Minru CHEN Qianqian WANG Jianfeng Department of otolaryngology head and neck surgery China-Japan Union Hospital of Jilin UniversityChangchun 130033China Department of Chinese traditional Medicine China-Japan Union Hospital of Jilin UniversityChangchun 130033China Department of rehabilitation China-Japan Union Hospital of Jilin UniversityChangchun 130033China Department of Radiotherapy China-Japan Union Hospital of Jilin UniversityChangchun 130033China

OBJECTIVE:To evaluate the effect of acupuncture therapies administered in combination with swallowing training on the quality of life of laryngeal cancer patients with dysphagia after ***:Seventy-one postoperative patients with laryngeal cancer participated in this *** patients diagnosed with swallowing dysfunction by video fluoroscopic swallowing examination(VFSE)were randomly divided into experimental group(n=36)and control group(n=35).Patients in both groups were provided swallowing training and rehabilitation *** in the experimental group were additionally provided with acupuncture *** patients were evaluated using VFSE and MD Anderson dysphagia inventory(MDADI)and Quality of Life Questionnaire-core 30(QLQ-c30)score immediately after surgery and three months ***:The effective rate of 97.1%(n=35)and the complete remission rate of 36.1%(n=13)in the experimental group were higher than those in the control group of 60%(n=21)and 14.3%(n=5)(P<0.01).The scores of VFSE,MDADI and QLQ-c 30 in the experimental group and the control group at three months after therapies were significantly improved compared with those before therapies(P<0.05).The scores of VFSE,MDADI and QLQ-c30 in the experimental group at three months after therapies were significantly improved compared with the control *** improvement in the intervention group was significantly better than that in the control *** were no adverse reactions in two ***:Acupuncture therapies combined with swallowing training can improve the swallowing function and the quality of life of laryngeal cancer patients with dysphagia after surgery.

关键词： laryngeal neoplasms deglutition disorders acupuncture swallowing training quality of life

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Peroral endoscopic myotomy vs laparoscopic myotomy and partial fundoplication for esophageal achalasia: A single-center randomized controlled trial

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World Journal of Gastroenterology 2022年第33期28卷 4875-4889页

作者： Eduardo Turiani Hourneaux de Moura Jose Jukemura Igor Braga Ribeiro Galileu Ferreira Ayala Farias Aureo Augusto de Almeida Delgado Lara Meireles Azeredo Coutinho Diogo Turiani Hourneaux de Moura Rubens Antonio Aissar Sallum Ary Nasi Sergio A Sanchez-Luna Paulo Sakai Eduardo Guimaraes Hourneaux de Moura Departamento de Gastroenterologia Faculdade de MedicinaUniversidade de Sao PauloServico de Endoscopia Gastrointestinal do Hospital das Clinicas HCFMUSPSao Paulo 05403-010Brazil Division of Esophageal Surgery Hospital das ClinicasUniversity of Sao Paulo School of MedicineSao Paulo 05403-010Brazil Departamento de Gastroenterologia Faculdade de MedicinaUniversidade de Sao PauloHospital das ClinicasUniversity of Sao Paulo School of MedicineSao Paulo 05403-010Brazil Department of Internal Medicine The University of Alabama at Birmingham Heersink School of MedicineBasil I.Hirschowitz Endoscopic Center of ExcellenceDivision of Gastroenterology and HepatologyBirminghamAL 35233United States

BACKGROUND Achalasia is a rare benign esophageal motor disorder characterized by incomplete relaxation of the lower esophageal sphincter(LES). The treatment of achalasia is not curative, but rather is aimed at reducing LES pressure. In patients who have failed noninvasive therapy, surgery should be considered. Myotomy with partial fundoplication has been considered the first-line treatment for non-advanced achalasia. Recently, peroral endoscopic myotomy(POEM), a technique that employs the principles of submucosal endoscopy to perform the equivalent of a surgical myotomy,has emerged as a promising minimally invasive technique for the management of this *** To compare POEM and laparoscopic myotomy and partial fundoplication(LM-PF) regarding their efficacy and outcomes for the treatment of *** Forty treatment-naive adult patients who had been diagnosed with achalasia based on clinical and manometric criteria(dysphagia score ≥ II and Eckardt score > 3) were randomized to undergo either LM-PF or POEM. The outcome measures were anesthesia time, procedure time, symptom improvement, reflux esophagitis(as determined with the Gastroesophageal Reflux Disease Questionnaire), barium column height at 1 and 5 min(on a barium esophagogram), pressure at the LES, the occurrence of adverse events(AEs), length of stay(LOS), and quality of life(QoL).RESULTS There were no statistically significant differences between the LM-PF and POEM groups regarding symptom improvement at 1, 6, and 12 mo of follow-up(P = 0.192, P = 0.242, and P = 0.242, respectively). However, the rates of reflux esophagitis at 1, 6, and 12 mo of follow-up were significantly higher in the POEM group(P = 0.014, P < 0.001, and P = 0.002, respectively). There were also no statistical differences regarding the manometry values, the occurrence of AEs, or LOS. Anesthesia time and procedure time were significantly shorter in the POEM group than in the LM-PF group(185.00 ± 56.89 and 95.70 ± 30.47 min v

关键词： Esophageal achalasia Gastroesophageal reflux deglutition disorders Heller myotomy Fundoplication Randomized controlled trial

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Dysphagia,reflux and related sequelae due to altered physiology in scleroderma

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World Journal of Gastroenterology 2021年第31期27卷 5201-5218页

作者： Anusri Kadakuntla Ankit Juneja Samantha Sattler Anusha Agarwal Drishti Panse Nardin Zakhary Anusha Pasumarthi Lee Shapiro Micheal Tadros Albany Medical College AlbanyNY 12208United States Department of Dentistry Ministry of HealthAlexandria 21500Egypt Division of Rheumatology Albany Medical CenterAlbanyNY 12208United States Division of Gastroenterology Albany Medical CenterAlbanyNY 12208United States

Systemic sclerosis is a connective tissue disease that presents with significant gastrointestinal involvement,commonly in the *** is a common clinical manifestation of systemic sclerosis and is strongly related to esophageal ***,there are multiple other contributing factors in each step in the physiology of swallowing that may contribute to development of severe *** oral phase of swallowing may be disrupted by poor mastication due to microstomia and poor dentition,as well as by *** the pharyngeal phase of swallowing,pharyngeal muscle weakness due to concurrent myositis or cricopharyngeal muscle tightening due to acid reflux can cause *** esophageal phase of swallowing is most commonly disturbed by decreased peristalsis and esophageal ***,it can also be affected by obstruction from chronic reflux changes,pill-induced esophagitis,or Candida *** contributing factors to dysphagia include difficulties in food preparation and *** the anatomy and physiology of swallowing and evaluating systemic sclerosis patients presenting with dysphagia for disturbances in each step can allow for development of better treatment plans to improve dysphagia and overall quality of life.

关键词： Systemic sclerosis Esophageal motility disorders deglutition deglutition disorders Gastroesophageal reflux Esophagitis

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