Video laparoscopic esophagocardiogastroplasty in cardiac achalasia
https://doi.org/10.34215/1609-1175-2023-2-69-72
Abstract
The paper presents a clinical case of successful treatment for fourth-grade achalasia of cardia using video laparoscopic esophagocardiomyotomy with esophagocardiogastroplasty according to T.A. Suvorova. The surgery involves a peculiar process – the triangular-folded anterior wall of the stomach is sutured to the edges of the formed defect in the muscular layer of the esophagus and cardia. In the early and late postoperative period, patients did not have complications, dysphagia and regurgitation. In a year, contrast fluoroscopy of the esophagus and esophagoscopy revealed reduction in the esophagus length and width, free inflow of contrast into the stomach, absence of reflux esophagitis; the endoscope was freely moving throughout the esophagus.
About the Authors
O. S. Olifirova
Amur State Medical Academy
Russian Federation
Russian Federation
Olga S. Olifirova - MD, PhD, prof. of the Dept. of Surgical Disease.
95 Gorky str., Blagoveshchensk 675001
E. Yu. Bregadze
Amur Regional Clinical Hospital
Russian Federation
Russian Federation
Blagoveshchensk
N. N. Trynov
Amur Regional Clinical Hospital
Russian Federation
Russian Federation
Blagoveshchensk
A. A. Kozka
Amur State Medical Academy
Russian Federation
Russian Federation
Blagoveshchensk
L. S. Krivoshlyk
Amur State Medical Academy
Russian Federation
Russian Federation
Blagoveshchensk
References
1. Ivashkin VT, Trukhmanov AS, Godzhello EA, Mayev IV, Evsyutina YuV, Lapina TL, Storonova OA. Diagnostics and treatment of cardiac achalasia and cardiospasm: guidelines of the Russian gastroenterological association. Russian Journal of Gastroenterology, Hepatology and Coloproctology. 2016;26(4):36–54 (In Russ.).
2. Gasanov AM, Aliev NA, Danielyan ShN. Esophageal achalasia. Pirogov Russian Journal of Surgery. 2019;2:72–7 (In Russ.). doi:10.17116/hirurgia201902172
3. Burmistrov MV, Sigal EI, Sharapov TL, Ivanov AI, Bakirov MR. Long-term results of endosurgical treatment of achalasia. Endoscopic Surgery. 2016;22(5):3–6 (In Russ.). doi: 10.17116/endoskop20162253-5
4. Anipchenko AN, Allahverdyan AS. Diagnosis and treatment of cardiac achalasia: clinical lecture. Moscow Surgical Journal. 2018;62(4):5–13 (In Russ.). doi: 10.17238/issn2072-3180.2018.4.5-13
5. Karpushchenko EG, Ovchinnikov DV. Longitudinal esophageal cardiomyotomy: 100 years in clinical practice. Bulletin of the Russian Military Medical Academy. 2014;46(2):237–41 (In Russ.). doi: 10.17816/brmma.2479
6. Gankov VA, Tseimakh EA, Bagdasaryan GI, Andreasyan AR, Maslikova SA. Long-term results after video endoscopic myotomy by Heller with fundoplication by Dor in patients with 2–4 stages of achalasia. Surgical Practice. 2021;3:40–9 (In Russ.). doi:10.38181/2223-2427-2021-3-40-49
7. Scott PD, Harold KL,Heniford RBT, Jaroszewski DE. Results of laparoscopic Heller myotomy for extreme megaesophagus: an alternative to esophagectomy. Surg Laparosc Endosc Percutan Tech. 2009;19(3):198–200. doi:10.1111/j.1445-2197.2006.03784
8. Del Grande LM, Herbella FAM, Patti MG, Schlottmann F. One size fits all: laparoscopic Heller’s myotomy for the treatment of achalasia irrespective of the degree of dilatation. Mini-invasive Surg. 2017;1:121–5. doi: 10.20517/2574-1225.2017.23
9. Vasilenko VH, Suvorova TA, Grebenev AL. Ahalaziya kardii. M: Medicina, 1976 (In Russ.).
Review
For citations:
Olifirova O.S., Bregadze E.Yu., Trynov N.N., Kozka A.A., Krivoshlyk L.S. Video laparoscopic esophagocardiogastroplasty in cardiac achalasia. Pacific Medical Journal. 2023;(2):69-72. (In Russ.) https://doi.org/10.34215/1609-1175-2023-2-69-72
Views:
381
Email this article 