Детская хирургия. Журнал им. Ю.Ф. Исакова. 2021; 25: 392-398
Ахалазия кардии у детей (обзор литературы)
https://doi.org/10.55308/1560-9510-2021-25-6-392-398Аннотация
Введение. Вопрос лечения ахалазии кардии у детей охватывает чрезвычайно широкий круг вопросов, многие из которых и по настоящее время полностью не решены. Многообразие вариантов лечения ахалазии кардии свидетельствует об отсутствии идеального метода и нерешённости данной проблемы. До сих пор ведутся дискуссии относительно выбора оптимального варианта лечения и идет разработка и внедрение новых минимально инвазивных методов лечения. Несмотря на положительные отзывы о результатах ПОЭМ, имеется ряд проблем, касающихся техники выполнения операции, критериев эффективности послеоперационного мониторинга и развития вторичного гастроэзофагеального рефлюкса и борьбы с его проявлениями.
Материал и методы. Использованы базы данных Национальной электронной библиотеки National Center for Biotechnology Information (https://www.ncbi.nlm.nih.gov/), eLIBRARY (https://elibrary.ru/defaultx.asp).
Заключение. Данный обзор является попыткой систематизировать современные данные о существующих вариантах лечения: от эндопросветных до хирургических методов. Также представлены данные сравнительного анализа различных методов лечения ахалазии кардии.
Список литературы
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Russian Journal of Pediatric Surgery. 2021; 25: 392-398
Achalasia of cardia in children (literature review)
https://doi.org/10.55308/1560-9510-2021-25-6-392-398Abstract
Introduction. The achalasia cardia care in children has an extremely wide range of issues, many of which are still not completely solved. The variety of treatment options for achalasia cardia indicates the lack of an ideal technique as well as unsolved essence of this problem. Discussions on the choice of optimal treatment modality are still going on, and new minimally invasive techniques are being developed and implemented. Though there is a positive feedback on the results of per oral endoscopic myotomy (POEM) , one can face a number of problems concerning surgical techniques, effectiveness criteria for postoperative monitoring as well as development of secondary gastroesophageal reflux and ways how to combat its manifestations.
Material and methods. The following databases were used: National Center for Biotechnology Information (https://www.ncbi.nlm.nih.gov/), scientific electronic library – eLIBRARY (https://elibrary.ru/defaultx.asp).
Conclusion. This review is an attempt to systematize current material on existing treatment options for achalasia cardia – from endoscopic to surgical ones. The authors also present results of their comparative analysis on various curative techniques for achalasia of the cardia.
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