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

Вестник хирургии имени И.И. Грекова

M. E. Lyubchenko¹  A. A. Smirnov¹  M. M. Kiriltseva¹  L. I. Davletbaeva¹  N. V. Konkina¹  A. Yu. Korolkov¹  D. I. Vasilevskiy¹ 

[1] Pavlov University;

关键词: achalasia;    peroral endoscopic myotomy;    dysphagia;    high-resolution manometry;   

DOI  :  10.24884/0042-4625-2020-179-5-41-46

来源: DOAJ

【 摘 要 】

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.

【 授权许可】

Unknown