Open AccessEndoscopic treatment for persistent dysphagia after heller myotomy in a patient with spastic type of achalasia with the use of the intraoperative high-resolution manometry
Author(s) -
А. А. Смирнов,
Н. В. Конкина,
М. М. Кирильцева,
M. E. Lyubchenko,
Leysan I. Davletbaeva,
D. I. Vasilevskiy,
А. Yu. Korolkov
Publication year - 2021
Publication title -
vestnik hirurgii im. i.i. grekova/vestnik hirurgii imeni i.i. grekova
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.136
H-Index - 7
eISSN - 2686-7370
pISSN - 0042-4625
DOI - 10.24884/0042-4625-2020-179-5-41-46
Subject(s) - medicine , achalasia , dysphagia , myotomy , surgery , thoracoscopy , spastic , heller myotomy , esophagus , cerebral palsy , psychiatry
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.