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Aim. The surgical treatment experience of patients with neglected stages of esophageal achalasia has been presented in the article. Methods. The esophagus extirpation with simultaneous gastroesophagoplasty due to esophageal achalasia of stage III-IV was performed in 28 patients. Results. The results of the research, identifies indications for surgical intervention, features of intraand postoperative complications, immediate and long-term results of esophageal extirpation. Cardiodilation remains the main treatment method for patients with esophageal achalasia, but its efficiency is significantly reduced in patients with neglected stages. Conclusion. Esophagus extirpation in patients with neglected stages of achalasia is pathogenetically reasonable surgical intervention when there is severe esophagoectasia and S-shaped deformity of the esophagus and cardioesophageal junction. Further control randomized trials and multicentric studies should be performed. Original Article PII: S225199391900022-9 Rec. 11 June 2019 Rev. 23 September 2019 Pub. 25 September 2019

Esophagus extirpation in the surgical treatment of neglected stages of esophageal achalasia