Open AccessType II achalasia. What can be hidden behind panesophageal pressurization?
Author(s) -
А. А. Смирнов,
М. М. Кирильцева,
М. Е. Любченко
Publication year - 2020
Publication title -
èksperimentalʹnaâ i kliničeskaâ gastroènterologiâ
Language(s) - English
Resource type - Journals
ISSN - 1682-8658
DOI - 10.31146/1682-8658-ecg-183-11-39-43
Subject(s) - achalasia , medicine , myotomy , high resolution manometry , cabin pressurization , esophagus , surgery , engineering , aerospace engineering
The aim was to investigate features of manometric pattern of type II achalasia. Materials and methods : High-resolution esophgeal manometry (HRM) was performed in 250 patients with achalasia. In 154 cases patients underwent peroral esophageal myotomy (POEM). Results : We found that poor results after POEM showed patients with high preoperative esophageal pressurization (>80 mm Hg). The poorest result after POEM we observed in patient with short additional increase of panesophageal pressure (up to 95 mm Hg) withing the contour of panesophageal pressurization.