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 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...

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Bibliographic Details
Published inVestnik hirurgii im. I.I. Grekova Vol. 179; no. 5; pp. 41 - 46
Main Authors Smirnov, A. A., Konkina, N. V., Kiriltseva, M. M., Lyubchenko, M. E., Davletbaeva, L. I., Vasilevskiy, D. I., Korolkov, A. Yu
Format Journal Article
LanguageEnglish
Russian
Published Pavlov First Saint Petersburg State Medical University 2021
Subjects
achalasia
dysphagia
high-resolution manometry
peroral endoscopic myotomy
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Summary: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.
ISSN:0042-4625
2686-7370
DOI:10.24884/0042-4625-2020-179-5-41-46