Abstract:
Introduction. Incomplete elucidation of the etiology and pathogenesis of achalasia of the
esophagus requires different opinions on diagnostic and treatment of the disease.
Aims. Evaluationof diagnostic methods of the esophagus achalasia.
Material and methods.The study included 22 patients with various stages of esophagus
achalasia: St.II-10 (45%), St.III-9 (40%),St.III-IV-l (5%), St.IV-2 (10%) treated at IMSP SCR,
Thoracic Surgery Department between 01.01.2012 and 31.12.2013. To asses the morpho-functional
state of the esophagus the following diagnosis methods were used: barium contrast radiography of
the esophagus and stomach, thorax radiography, FGDs and histopathological examination.
Rezults. Conservative treatment was indicated in 5(22,7%) cases, surgery was performed in
17(77.3%), 14 patients (82,5) were performed extramucous Heller cardiom yotom y with
fundaplication Dor, 1(5,9%) case - Heller-Dor laparoscopy, 1(5,9%) case Heller-D or with hiatal
hernioplasty and 1(5,9%) case Heller-Neissen.
Concluzions. The methods of choice in diagnosis of the esophagus achalasia are barium
contrast of the esophagus, esophagoscopy. Conservative treatment is indicated in patients with
achalasia of the esophagus in stage one or in presence of contraindications for surgery. The method
of choice in the treatment of esophagus achalasia is extra mucous cardiomyotomy with laparoscopic
video Heller-Dor indicated in stage II-IV.