Diagnosis is also confirmed by endoscopy – esophagoscopy, which with the help of endoscope the doctor can consider the esophageal mucosa. Treatment and prevention of achalasia cardia Treatment of achalasia cardia is to improve the patency of the cardiac sphincter. There are two main methods of treatment is balloon dilatation cardia and surgical treatment, consisting in cutting the muscles. Recently, for the treatment of achalasia began using botulinum toxin management. Drug therapy is an auxiliary and independently treatment does not apply. Consider the pros and cons of different methods of treating achalasia cardia.
To date, most common in the treatment of achalasia received balloon dilatation of cardiac sphincter. Doubtless advantage of this treatment is a little traumatic, no need for anesthesia, a small number of complications (rupture of the esophagus). But this method of treatment of achalasia cardia has its drawbacks. First he mechanism for intervention. In fact, during the dilation of the cleavage of the cardiac sphincter to the formation of cracks lining of the esophagus and inflammation. Second problem is not the disclosure of the cardia eliminated but instead creates Another problem is not closing the cardiac sphincter, which often leads to esophagitis.
And at the end of the balloon dilatation is often a recurrence of achalasia cardia, and often have scar stricture cardiac sphincter. In addition such treatment is often effective only at 1 and 2 degrees of achalasia. In recent times has spread of botulinum toxin in the management of cardiac sphincter. In this case, paralysis of muscles sphincter and it is revealed. The main disadvantages of this method of treatment achalasia cardia is a temporary effect (from 6 to 12 months) and the development of reflux esophagitis. The only radical method of treatment of achalasia cardia is surgical treatment. During the operation, cut through the cardiac sphincter muscle and the resulting cut sheltering wall of the stomach. Unfortunately experience in surgical treatment of achalasia cardia have not many clinics in connection with What is not always possible to achieve good results of surgical treatment of achalasia cardia. One of the most experience had a clinical professor. Onoprieva (Russian Center for Functional Surgical Gastroenterology, the Krasnodar). In this clinic has been developed a unique method of eliminating achalasia cardia, which allows to achieve good results in 97%. The method consists in a delicate selection of the esophagus, dissection of the muscular layer of the esophagus and cardia without opening slizostogo and follow-plasty aimed at preventing relapse achalasia and reflux esophagitis. The results are tracked for 25 years, relapse was detected in 3%. When properly treatment for achalasia cardia favorable.