STUDY OF IMMEDIATE AND REMOTE RESULTS OF THE GELLER-GOTTSTEIN OPERATION USING THE METHOD OF STRAIGHTENING THE VERTICAL AXIS OF THE ESOPHAGUS IN PATIENTS WITH STAGE IV ACHALASIA OF THE CARDIA

Sulimanov Rushan Abdulkhakovich, Sulimanov Ramil Rushanovich, Shestakova Elena Yuryevna, Rumyantsev Egor Evgenievich, Suzdaltsev Sergey Evgenievich

This article discusses the problem of improving the quality of life of patients with stage IV achalasia of the cardia. The incidence of patients with stage IV achalasia of the cardia at primary detection reaches 5-15%. The aim of the study is to evaluate the immediate and remote results of the Heller-Gottstein operation supplemented by the method of straightening the vertical axis of the esophagus in patients with stage IV achalasia of the cardia. To assess the quality of life of patients, complaints of patients with an established diagnosis of stage IV achalasia of the cardia were assessed at 10 (8-12) points according to Eckardt. The esophagus was dilated to 9 (11-12) cm, all patients had its S-shaped bend. Patients rated their overall quality of life at 84 (74-99) points according to GIQLI. The developed original method of straightening the longitudinal axis of the esophagus in addition to the Heller-Gottstein operation demonstrates its effectiveness: the assessment of the severity of symptoms of achalasia of the cardia decreased by 8 points according to Eckardt (from 10 to 2), the width of the esophagus decreased by 6 cm (from 9 to 3), the S-shaped bend was eliminated in 19 patients out of 20, the assessment of the quality of life according to GIQLI increased by 49 points (from 84 to 133).Key words: esophageal achalasia, esophagocardiomyotomy, quality of life

Keywords:achalasia of the cardia, esophagocardiomyotomy, quality of life