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Tatarinova E.V.

Sklifosovsky Research Institute of Emergency Medicine of the Moscow Healthcare Department, Moscow, Russia

Yartsev P.A.

Sklifosovsky Research Institute of Emergency Medicine, Moscow, Russia

Gasanov A.M.

Sklifosovsky Research Institute of Emergency Medicine of the Moscow Healthcare Department, Moscow, Russia

Gribaleva K.V.

Sklifosovsky Research Institute of Emergency Medicine of the Moscow Healthcare Department, Moscow, Russia

Volkov K.S.

Sklifosovsky Research Institute of Emergency Medicine of the Moscow Healthcare Department, Moscow, Russia

Rabadanov K.M.

Sklifosovsky Research Institute of Emergency Medicine of the Moscow Healthcare Department, Moscow, Russia

Diagnosis and treatment of achalasia of the cardia, initially regarded as a hernia of the esophageal orifice of the diaphragm

Authors:

Tatarinova E.V., Yartsev P.A., Gasanov A.M., Gribaleva K.V., Volkov K.S., Rabadanov K.M.

More about the authors

Journal: Endoscopic Surgery. 2026;32(3): 37‑41

DOI: 10.17116/endoskop20263203137

Read: 213 times

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Table of contents

DIAGNOSIS AND TREATMENT OF ACHALASIA OF THE CARDIA, INITIALLY REGARDED AS A HERNIA OF THE ESOPHAGEAL ORIFICE OF THE DIAPHRAGM
DIAGNOSIS AND TREATMENT OF ACHALASIA OF THE CARDIA, INITIALLY REGARDED AS A HERNIA OF THE ESOPHAGEAL ORIFICE OF THE DIAPHRAGM

To cite this article:

Tatarinova EV, Yartsev PA, Gasanov AM, Gribaleva KV, Volkov KS, Rabadanov KM. Diagnosis and treatment of achalasia of the cardia, initially regarded as a hernia of the esophageal orifice of the diaphragm. Endoscopic Surgery. 2026;32(3):37‑41. (In Russ.)
https://doi.org/10.17116/endoskop20263203137

Подписка 2026 Эндоскопическая хирургия (Endoscopic Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

The article presents the treatment outcome of a female patient with achalasia cardia, mistakenly diagnosed as a hiatal hernia.

CLINICAL CASE

Patient B., 50, underwent two surgical interventions for dysphagia, mistakenly diagnosed as a hiatal hernia. Despite the surgeries, symptoms persisted and steadily progressed. High-resolution manometry confirmed the diagnosis of type I achalasia cardia. Based on the results of a comprehensive follow-up examination, a decision was made to remove the fundoplication cuff and perform peroral endoscopic myotomy (POEM) as the final stage of functional correction. Postoperatively, adequate enteral nutrition was restored, and the patient’s quality of life significantly improved.

RESULTS

Persistent restoration of esophageal passage, complete resolution of dysphagia and regurgitation, were noted. Nutritional status and quality of life were fully restored. No recurrences of symptoms or need for repeat interventions were observed during the observation period.

CONCLUSION

Antireflux surgeries for undiagnosed achalasia lead to severe dysphagia, requiring complex, multi-stage correction. Preoperative manometry is essential in the differential diagnosis of dysphagia.

Keywords:

achalasia of the cardia
hernia of the esophageal orifice of the diaphragm
dysphagia

Authors:

Tatarinova E.V.

Sklifosovsky Research Institute of Emergency Medicine of the Moscow Healthcare Department, Moscow, Russia

Yartsev P.A.

Sklifosovsky Research Institute of Emergency Medicine, Moscow, Russia

Gasanov A.M.

Sklifosovsky Research Institute of Emergency Medicine of the Moscow Healthcare Department, Moscow, Russia

Gribaleva K.V.

Sklifosovsky Research Institute of Emergency Medicine of the Moscow Healthcare Department, Moscow, Russia

Volkov K.S.

Sklifosovsky Research Institute of Emergency Medicine of the Moscow Healthcare Department, Moscow, Russia

Rabadanov K.M.

Sklifosovsky Research Institute of Emergency Medicine of the Moscow Healthcare Department, Moscow, Russia

Received:

20.01.2026

Accepted:

09.02.2026

Close metadata

References:

  1. Burmistrov MV, Sigal EI, Sharapov TL, Fedorov VI. Immediate and long-term results of repeated and subsequent endosurgical operations in patients with neuromuscular diseases of the esophagus and gastroesophageal reflux disease in the presence of hiatal hernia. Klinicheskaya i eksperimental’naya khirurgiya. Zhurnal imeni akademika B.V. Petrovskogo. 2022;10(1):20-25. (In Russ.). https://doi.org/10.33029/2308-1198-2022-10-1-20-25
  2. Kolesnikov SA, Bugaev VV, Bugaeva SR, Efremov MV, Rumbesht VV. Complications of surgical treatment of hiatal hernia and tactics of its elimination: An observational non-randomized study. Kuban Scientific Medical Bulletin. 2024;31(3):30-43. (In Russ.). https://doi.org/10.25207/1608-6228-2024-31-3-30-43
  3. Allakhverdyan AS, Anipchenko AN, Anipchenko NN. The effectiveness of video endosurgical operations in the progression and recurrence of achalasia of the cardia. Endoscopic Surgery. 2023;29(1):13-19. (In Russ.). https://doi.org/10.17116/endoskop20232901113
  4. Kanischev IS, Shishin KV, Nedoluzhko IYu, Shumkina LV. Choosing treatment methods for achalasia in elderly patients. Russian Journal of Evidence-Based Gastroenterology. 2022;11(4):57-64. (In Russ.). https://doi.org/10.17116/dokgastro20221104157
  5. Ichkhanian Y, DeWitt JM. Evolving Indications of Esophageal Peroral Endoscopic Myotomy (E-POEM): A Review of Expanding Applications in Esophageal Pathologies. Curr Gastroenterol Rep. 2025;27(1):66.  https://doi.org/10.1007/s11894-025-01016-z
  6. Yang D, Bechara R, Dunst CM, Konda VJA. AGA Clinical Practice Update on Advances in Per-Oral Endoscopic Myotomy (POEM) and Remaining Questions-What We Have Learned in the Past Decade: Expert Review. Gastroenterology. 2024;167(7):1483-1490. https://doi.org/10.1053/j.gastro.2024.08.038
  7. Inoue H, Minami H, Kobayashi Y, Sato Y, Kaga M, Suzuki M, et al. Satodate H, Odaka N, Itoh H, Kudo S. Peroral endoscopic myotomy (POEM) for esophageal achalasia. Endoscopy. 2010;42(4):265-271.  https://doi.org/10.1055/s-0029-1244080
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