Journal of Experimental and Clinical SurgeryJournal of Experimental and Clinical Surgery2070-478X2409-143XVoronezh State Medical University96610.18499/2070-478X-2012-5-1-110-113Research ArticleDistant results and complications of cardiodilatation in patients with achalasiaNizamkhodzhaevZayniddin Mahamatovich<p><span lang="EN-US">Doctor of Medical Sciences</span>, Head of the Department of Esophageal Surgery and Stomach of the Republican Specialized Surgery Center named after аcademician V.Vakhidov</p>nzm1954@mail.ruLigayRuslan Efimovich<span>Candidate of Medical Science</span>, Senior Researcher of the Republican Specialized Surgery Center named after аcademician V.Vakhidovdocligay73@rambler.ruBekchanovHusan NurullaevichPhysician-ordinotorozdeleniya surgery of the esophagus and stomach Republican Specialized Surgery Center named after аcademician V.Vakhidovhusanhirurg@mail.ruMirzakulovAkmalResident of the master's degree of the third year of training of the Tashkent Medical Academyhusanhirurg@mail.ruOtavanovDavronClinical resident of the II year of the department of surgery of the esophagus and stomach of the Republican Specialized Surgery Center named after аcademician V.Vakhidovnzm1954@mail.ruRepublican Specialized Surgery Center named after аcademician V.VakhidovTashkent Medical Academy19012012511101130903201709042017Copyright © , Nizamkhodzhaev Z.M., Ligay R.E., Bekchanov H.N., Mirzakulov A., Otavanov D.<p>Experience of treatment of 413 patients with achalasia is represented in article. General method of treatment is cardiodilatation<br />was performed in 377 patients (91,3%): wth Stark apparatus – in 35, pneumatic method – in 312 and hydrobaloon<br />method – in 30. Complications rate (bleeding, esophagitis escalation, perforation et c.) after different methods of cardiodilatations<br />was investigated. The less complications rate occurs by using of pneumatic and hydrobaloon models of dilatators.<br />Examination of distant results shown direct dependence between increasing of dysphagia recurrence and stage of disease<br />independenly from cardiodilatation method.</p>kardiospazm, achalasia, cardiodiosisкардиоспазм, ахалазия, кардиодилатация[1.Abdulsamedov A.G., Robak A.N., Ruchkin V.I. Novyy metod operativnogo lecheniya akhalazii pishchevoda. [A new method of operative treatment of esophagus ahalasia.] Vestnik novykh meditsinskikh tekhnologiy: periodicheskiy teoreticheskiy i nauchno-prakticheskiy zhurnal. Tula. 2007; 14: 2: 172-173.][2. Anan'yev N.A. i dr. Sravnitel'naya otsenka razlichnykh vidov kardioplastiki pri kardiospazme. [Comparative evaluation of different types of cardioplasty in cardiopathy]. Voprosy rekonstruktivnoy i plasticheskoy khirurgii: Nauchno-prakticheskiy zhurnal. Tomsk. 2001; 1: 17-19.][3. Gadzhiyev A.N. Sovremennyye predstavleniya o neyromyshechnykh zabolevaniyakh pishchevoda. [Modern ideas about neuromuscular diseases of the esophagus.] Annaly khirurgii: Nauchno-prakticheskiy zhurnal. M.: Meditsina. 2000; 1: 26-33.][4. Zherlov G.K. i dr. Sovremennaya tekhnologiya khirurgicheskogo lecheniya akhalazii kardii 2-3 stadii. [Modern technology of surgical treatment of achalasia of cardia of 2-3 stages]. Khirurgiya: nauchno-prakticheskiy zhurnal. M.: Media Sfera. 2007; 9: 26-31.][5.Onopriyev V.I., Durleshter V.M., Ryabchun V.V., Klitinskaya I.S. Sovremennyye khirurgicheskiye tekhnologii sozdaniya areflyuksnoy kardii pri razlichnykh formakh akhalazii pishchevoda [Modern surgical technologies for creating arefleksnoy cardia with various forms of achalasia of the esophagus]: nauchnoye izdaniye. Vopr. rekonstruktivnoy i plasticheskoy khirurgii. Tomsk. 2005; 1: 25-31.][6. Khadzhibayev A.M., Yangiyev B.A. Kliniko-morfologicheskaya otsenka rezul'tatov lecheniya bol'nykh s zapushchennymi i oslozhnennymi formami kardiospazma.[Clinical and morphological evaluation of the results of treatment of patients with advanced and complicated forms of cardiac spasm]. Med. zhur. Kazakhstana.1998; 3: 48-50.][7. Ferguson M.K., Reeder L.B., Olak J. Results of myotomy and partial fundoplation after pneumatic dilatation for achalasia [Results of myotomy and partial fundopli cation after pneumatic dilatation for achalasia.] Ann. Thorac. Surgery. 1996; 62: 2: 327-330.][8. Sader A.A. Esophagectomy with gastric reconstruction for achalasia [Esophagectomy with gastric reconstruction for achalasia.] J. Thorac. Cardiovasc. Surgery. 2000; 119: 1: 194-195.][9. Viard H., Favre J., Fichere T. Results de 90 operations de Heller pour achalasia [Results de 90 operations de Heller pour achalasia.] Chirurgie. 1983; 109: 4: 379-485.]