Achalasia of cardia in children (literature review)

Abstract

Introduction. The achalasia cardia care in children has an extremely wide range of issues, many of which are still not completely solved. The variety of treatment options for achalasia cardia indicates the lack of an ideal technique as well as unsolved essence of this problem. Discussions on the choice of optimal treatment modality are still going on, and new minimally invasive techniques are being developed and implemented. Though there is a positive feedback on the results of per oral endoscopic myotomy (POEM) , one can face a number of problems concerning surgical techniques, effectiveness criteria for postoperative monitoring as well as development of secondary gastroesophageal reflux and ways how to combat its manifestations.Material and methods. The following databases were used: National Center for Biotechnology Information (https://www.ncbi.nlm.nih.gov/), scientific electronic library – eLIBRARY (https://elibrary.ru/defaultx.asp).Conclusion. This review is an attempt to systematize current material on existing treatment options for achalasia cardia – from endoscopic to surgical ones. The authors also present results of their comparative analysis on various curative techniques for achalasia of the cardia.