nogrЭкспериментальная и клиническая гастроэнтерологияExperimental and Clinical Gastroenterology1682-8658«Global Media Technologies»10.31146/1682-8658-ecg-183-11-39-43nogr-1473Research ArticleКЛИНИЧЕСКАЯ ГАСТРОЭНТЕРОЛОГИЯCLINICAL GASTROENTEROLOGYАхалазия пищевода II манометрический тип. Что может скрывать тотальное повышение внутрипищеводного давления?Type II achalasia. What can be hidden behind panesophageal pressurization?https://orcid.org/0000-0002-6440-2370СмирновА. А.SmirnovA. A.

Смирнов Александр Александрович, к.м.н., доцент кафедры госпитальной хирургии № 2, руководитель отдела эндоскопии

Санкт-Петербург

Alexander A. Smirnov, Cand. of Med. Sci., Associate Professor, head of the endoscopy department

St. Petersburg

https://orcid.org/0000-0003-3821-3805КирильцеваМ. М.KiriltsevaM. M.

Кирильцева Майя Михайловна, врач-эндоскопист отдела эндоскопии

Санкт-Петербург

Maya M. Kiriltseva, endoscopist

St. Petersburg

kiriltseva@mail.ruhttps://orcid.org/0000-0003-1110-1379ЛюбченкоМ. Е.LubchenkoM. E.

Любченко Мария Евгеньевна, врач-эндоскопист отдела эндоскопии

Санкт-Петербург

Maria E. Lubchenko, endoscopist

St. Petersburg

ФГБОУ ВО ПСПбГМУ им. И. П. Павлова Минздрава РоссииРоссияFederal state budgetary educational institution of higher education “First Pavlov State Medical University of St. Petersburg”Russian Federation202013112020183113943Copyright © Смирнов А.А., Кирильцева М.М., Любченко М.Е., 20202020Смирнов А.А., Кирильцева М.М., Любченко М.Е.Smirnov A.A., Kiriltseva M.M., Lubchenko M.E.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.nogr.org/jour/article/view/1473Цель исследования

Цель исследования. Изучить особенности манометрического рисунка ахалазии пищевода II манометрического типа.

Материалы и методы

Материалы и методы. с 2015 по 2020 год манометрия пищевода высокого разрешения была выполнена 250 пациентам с ахалазией пищевода, 154 пациентам была выполнена ПОЭМ.

Результаты

Результаты. По совокупности данных было отмечено, что при стандартной протяженности РОЕМ меньшую эффективность лечения показывали пациенты с высоким внутрипищеводным давлением до операции (80 мм.рт.ст. и выше). Максимально выраженную неэффективность мы наблюдали у пациента, на предоперационной HRM которого, внутри рисунка тотальной прессуризации отмечались эпизоды кратковременного дополнительного тотального повышения давления до 95 мм.рт.ст

The aim was to investigate features of manometric pattern of type II achalasia.

Materials and methods

Materials and methods: High-resolution esophgeal manometry (HRM) was performed in 250 patients with achalasia. In 154 cases patients underwent peroral esophageal myotomy (POEM).

Results

Results: We found that poor results after POEM showed patients with high preoperative esophageal pressurization (>80 mm Hg). The poorest result after POEM we observed in patient with short additional increase of panesophageal pressure (up to 95 mm Hg) withing the contour of panesophageal pressurization.

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The authors declare that there are no conflicts of interest present.