Comparison of the modern treatment methods for esophageal achalasia

Кайбышева, В. О.; Никонов, Е. Л.; Plakhov, R. V.; Fedorov, E. D.; Shapoval'yants, S. G.

doi:10.17116/dokgastro2019804-05144

Cited by 5 publications

(3 citation statements)

References 67 publications

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“…Важным является возможность выполнения ПОЭМ при отсутствии эффекта от ранее проведенного лечения в том числе операции Геллера без увеличения частоты интра-и послеоперационных осложнений, что показано и наши исследованием: 27 пациентам ранее проводилось лечение ахалазии. Нами отмечено увеличение длительности вмешательства (р=0,000189), без увеличения частоты интра-и послеоперационных осложнений, что совпадает с данными некоторых авторов [4,17,18].…”

Section: Discussionunclassified

“…Основной целью лечения является восстановление проходимости пищеводно-желудочного перехода. Ввиду неэффективности консервативного лечения в лечении пациентов с АП на первое место выходят эндоскопические методы: баллонная дилатация, введение ботулотоксина и т. д. При этом частота рецидивов АП может достигать более 18% через 2 года и 41% через 5 лет [2,[4][5][6][7].…”

Section: Introductionunclassified

“…В настоящее время одним из эффективных методов лечения является пероральная эндоскопическая миотомия в связи с минимальным числом интра-и послеоперационных осложнений, хорошим клиническим эффектом [4,8,9].…”

Section: Introductionunclassified

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Nearest and ling-time outcomes of endoscopic treatment of patients with esophageal achalasia

Drobyazgin,

Chikinev,

Mit’Ko

2023

jour

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The purpose of the study is analyze of the results of peroral endoscopic myotomy in patients with esophageal achalasia. Material and methods. In the period 2017-2022 years peroral endoscopic myotomy in esophageal achalasia was performed in 110 patients (43 - men, 77 - women). Mean aged from 7 to 75 years. The duration of the disease ranged from 6 months to 40 years. Results. In 109 cases, the intervention was technically successful. The intervention was not successful due to the severity of fibrosis in the submucosal layer in 1 patient. The operation time ranged from 45 to 195 minutes. Complications during the intervention were in 9 (8,18%) patients. In the postoperative period, in 4 (3,63%) patients had complications that were eliminated by using flexible endoscopes. Patients were discharged from the hospital 3-5 days after the operation. There were not re-interventions performed. Erosive reflux esophagitis is the most common condition in the postoperative period. This condition was successfully stopped by inhibitors proton pump taking. When examining in the postoperative period and assessing the level quality of life using questionnaires SF-36, GIQLI and the Eckardt scale noted relief of dysphagia and a significant improvement in the main indicators. Conclusion. Peroral endoscopic myotomy in patients with esophageal achalasia can be the operation of choice in terms of efficiency, safety and long-term results, the level of quality of life in the postoperative period. To assess the long-term results of the intervention in this category of patients, further monitoring is required.

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Section: Discussionunclassified

Section: Introductionunclassified