METHOD FOR SURGICAL TREATMENT OF ESOPHAGEAL ACHALASIA USING ENDOSCOPY-GUIDED HYDROPREPARATION OF ESOPHAGUS TISSUES Russian patent published in 2023 - IPC A61B17/94 A61B17/00 A61K33/14 A61P43/00 

FIELD: medicine; abdominal surgery.

SUBSTANCE: invention relates to the field of abdominal surgery and can be used for surgical treatment of primary esophageal achalasia degree I-IV as well as for safer treatment of recurrent forms of esophageal achalasia Before endoscopy-guided esophagocardiomyotomy perform hydropreparation of esophagus submucosal layer in the area of spasm localization by introducing normal saline into the esophagus submucosal layer in volume providing visible swelling of the organ wall. Introduction of solution is carried out at least in two points with a needle, which is inserted through the adventitious and muscular coats of esophagus without affecting the mucous layer. Then perform anterior esophagocardiomyotomy of the esophagus spasm area. Form fundoplication cuff. Then form posterior partial half-cuff. Perform posterior cruroraphia along the esophagus diameter.

EFFECT: method reduces the risk of intraoperative and postoperative complications, number of disease relapses, length of the patient's stay in the hospital due to the hydropreparation of theesophagus submucosal layerlaparoscopically without affecting the mucous layer.

4 cl, 11 dwg, 3 ex