Results of laparoscopic Heller esophagocardiomyotomy with Dor fundoplication in patients with stages 3 and 4 of the esophageal achalasia

INTRODUCTION. The choice of a treatment method in patients with stages 3–4 the esophageal achalasia remains an actual topic. OBJECTIVE was to evaluate long-term results Heller esophagocardiomyotomy Dor hemiesophagofundoplication at by comparing patient survey data instrumental methods diagnosis function. METHODS AND MATERIALS. operation were analyzed 67 patients, including 35 stage 3 and 32 4 disease. period postoperative follow-up 1–5 years. X-ray examination esophagus stomach, manometry, 24-hour pH-metry Eckardt GIGLI scale questionnaires evaluated. RESULTS. period, showed complete restoration evacuation function all (p=0.001), according manometric data, significant decrease tone lower sphincter normal values (p=0,001) revealed, atony noted three Pathological gastroesophageal reflux before after surgery not registered pH-metry, De Meester index within range groups (less than 14.72). Dysphagia decreased patients. Long-term on improved 83.5 %, 78.3 % questionnaire, scored more surgery. CONCLUSION. Laparoscopic fundoplication reduces symptoms disease achalasia, increases gastrointestinal quality life, which makes it advisable perform organ-preserving