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Danielyan Sh.N.

NII SP im. N.V. Sklifosovskogo

Abakumov M.M.

Nauchno-issledovatel'skiĭ institut skoroĭ pomoshchi im. N.V. Sklifosovskogo, Moskva

Tatarinova E.V.

Nauchno-issledovatel'skiĭ institut skoroĭ pomoshchi im. N.V. Sklifosovskogo, Moskva

Gasanov A.M.

Difficulties of differential diagnosis and treatment of achalasia cardia after previous hiatal hernia repair

Authors:

Danielyan Sh.N., Abakumov M.M., Tatarinova E.V., Gasanov A.M.

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Journal: Pirogov Russian Journal of Surgery. 2020;(2): 79‑83

DOI: 10.17116/hirurgia202002179

Read: 3455 times

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Table of contents

DIFFICULTIES OF DIFFERENTIAL DIAGNOSIS AND TREATMENT OF ACHALASIA CARDIA AFTER PREVIOUS HIATAL HERNIA REPAIR
DIFFICULTIES OF DIFFERENTIAL DIAGNOSIS AND TREATMENT OF ACHALASIA CARDIA AFTER PREVIOUS HIATAL HERNIA REPAIR

To cite this article:

Danielyan ShN, Abakumov MM, Tatarinova EV, Gasanov AM. Difficulties of differential diagnosis and treatment of achalasia cardia after previous hiatal hernia repair. Pirogov Russian Journal of Surgery. 2020;(2):79‑83. (In Russ.)
https://doi.org/10.17116/hirurgia202002179

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

Esophagocardiomyotomy followed by anterior fundoplication is a standard treatment of achalasia cardia, whereas cruroraphy with complete or partial posterior fundoplication is carried out for hiatal hernia and gastroesophageal reflux disease. The most common postoperative complications of hiatal hernia repair are dysphagia due to malformed cuff, phenomenon of «telescope» and slow gastric emptying syndrome. Recurrent hiatal hernia is observed in 3—15% of cases. Currently, there are a lot of reports devoted to redo antireflux procedures in patients with hiatal hernia. The goal of the study is to demonstrate difficulties of diagnosis and treatment in a patient with achalasia cardia after previous hiatal hernia repair.

Keywords:

achalasia cardia
hiatal hernia
redo fundoplication

Authors:

Danielyan Sh.N.

NII SP im. N.V. Sklifosovskogo

Abakumov M.M.

Nauchno-issledovatel'skiĭ institut skoroĭ pomoshchi im. N.V. Sklifosovskogo, Moskva

Tatarinova E.V.

Nauchno-issledovatel'skiĭ institut skoroĭ pomoshchi im. N.V. Sklifosovskogo, Moskva

Gasanov A.M.

Close metadata

References:

  1. Fedorov VI, Burmistrov MV, Sigal EI, Ivanov AI, Sharapov TL. Analysis of repeated and reconstructive operations in patients with hiatal hernia. Ehndoskopicheskaya khirurgiya. 2016;22(6):3-7. (In Russ.) https://doi.org/10.17116/endoskop20162263-7
  2. O’Neill OM, Johnston BT, Coleman HG. Achalasia: a review of clinical diagnosis, epidemiology, treatment and outcomes. World J Gastroenterol. 2013;19(35):5806-5812. https://doi.org/10.3748/wjg.v19.i35.5806
  3. Chernousov AF, Khorobrykh TV, Vetshev FP, Melentyev AA, Osminin SV. Achalasia cardia and cardiospasm-modern principles of treatment. Annaly khirurgii. 2012;(3):5-10. (In Russ.)
  4. Triantafyllou T, Theodoropoulos C, Georgiou G, Kalles V, Chrysikos D, Filis K, Zografos G, Theodorou D. Long-term outcome of myotomy and fundoplication based on intraoperative real-time high-resolution manometry in achalasia patients. Ann Gastroenterol. 2019;32(1):46-51. https://doi.org/10.20524/aog.2018.0326
  5. Kahrila PJ, Bredenoord AJ, Fox M, Gyawali CP, Roman S, Smout AJ, Pandolfino JE. The Chicago Classification of esophageal motility disorders, v3.0. Neurogastroenterol Motil. 2015;27(2):160-174. https://doi.org/10.1111/nmo.12477
  6. Pandolfino JE, Kwiatek MA, Nealis T, Bulsiewicz W, Post J, Kahrilas PJ. Achalasia: a new clinically relevant classification by high-resolution manometry. Gastroenterology. 2008;135(5):1526-1533. https://doi.org/10.1053/j.gastro.2008.07.022
  7. Chernousov AF, Khorobrykh TV, Vetshev FP. Tactics of treating patients with cardia achalasia and cardiospasm. Vestnik khirurgicheskoj gastroenterologii. 2010;3:85-86. (In Russ.)
  8. Lutsevich OE, Gallyamov EA, Erin SA, Makushin AA, Zagaynov EV. Laparoscopic refund or 63 months without heartburn. Moskovskij khirurgicheskij zhurnal. 2017;2(54):18-24. (In Russ.)
  9. Schaheen L, Sanchez M, Luketich J. Peroral Endoscopic Myotomy for Achalasia. Thorac Surg Clin. 2018;28(4):499-506. https://doi.org/10.1016/j.thorsurg.2018.07.005
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