Endoscopic treatment for persistent dysphagia after heller myotomy in a patient with spastic type of achalasia with the use of the intraoperative high-resolution manometry
A. A. Smirnov,
N. V. Konkina,
M. M. Kiriltseva,
M. E. Lyubchenko,
L. I. Davletbaeva,
D. I. Vasilevskiy,
A. Yu. Korolkov https://doi.org/10.24884/0042-4625-2020-179-5-41-46
Abstract
A Peroral Endoscopic Myotomy was performed on the patient with the persistent dysphagia despite preceding Heller myotomy combined with partial fundoplication, relaparotomy, fundoplication wrap reconstruction, gastrostomy and left-sided thoracoscopy with the drainage of the thoracic abscess. The use of intraoperative High-Resolution Manometry during Endoscopic Peroral Myotomy helped to reveal the reasons for the failure of previous treatment and to address the dysphagia.
About the Authors
A. A. Smirnov
Pavlov University
Cand. of Sci. (Med.), Associate Professor of the Department of Hospital Surgery No. 2, Head of the Endoscopy Department of the Research Institute of Surgery and Emergency Medicine,
Saint Petersburg
N. V. Konkina
Pavlov University
Russian Federation
Russian Federation
Endoscopist,
Saint Petersburg
M. M. Kiriltseva
Pavlov University
Endoscopist,
Saint Petersburg
M. E. Lyubchenko
Pavlov University
Endoscopist,
Saint Petersburg
L. I. Davletbaeva
Pavlov University
Endoscopist,
Saint Petersburg
D. I. Vasilevskiy
Pavlov University
Dr. of Sci. (Med.), Associate Professor of the Department of Faculty Surgery,
Saint Petersburg
A. Yu. Korolkov
Pavlov University
Dr. of Sci. (Med.), Associate Professor of the Department of Hospital Surgery with Clinic, Head of the Department of General and Emergency Surgery of the Research Institute of Surgery and Emergency Medicine,
Saint Petersburg
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For citations:
Smirnov A.A., Konkina N.V., Kiriltseva M.M., Lyubchenko M.E., Davletbaeva L.I., Vasilevskiy D.I., Korolkov A.Yu. Endoscopic treatment for persistent dysphagia after heller myotomy in a patient with spastic type of achalasia with the use of the intraoperative high-resolution manometry. Grekov's Bulletin of Surgery. 2020;179(5):41-46. (In Russ.) https://doi.org/10.24884/0042-4625-2020-179-5-41-46
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