Video laparoscopic esophagocardiogastroplasty in cardiac achalasia

Abstract

The paper presents a clinical case of successful treatment for fourth-grade achalasia of cardia using video laparoscopic esophagocardiomyotomy with esophagocardiogastroplasty according to T.A. Suvorova. The surgery involves a peculiar process – the triangular-folded anterior wall of the stomach is sutured to the edges of the formed defect in the muscular layer of the esophagus and cardia. In the early and late postoperative period, patients did not have complications, dysphagia and regurgitation. In a year, contrast fluoroscopy of the esophagus and esophagoscopy revealed reduction in the esophagus length and width, free inflow of contrast into the stomach, absence of reflux esophagitis; the endoscope was freely moving throughout the esophagus.