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The fourth stage is inflammation of nearby tissues and deformity of the esophagus.

Taking into account the morphological signs and the clinical picture, the following stages of development of this pathological process are distinguished: The first stage of the esophagus does not expand, the violation in the passage of food is periodic; The second stage is a moderate expansion of the esophagus, dysphagia and a stable tone of the cardiac sphincter appear; The third stage of the esophagus is expanded at least twice, which is due to cicatricial changes and a significant narrowing of the esophagus.

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  • There is another opinion according to which the development of the disease is associated with chronic inflammatory diseases that affect the lungs, hilar lymph nodes, and vagus neuritis.
  • It should be noted that these stages of the pathological process can develop both within a month and several years. It all depends on the history and general health of the patient.
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The following symptoms are characteristic of achalasia cardia: dysphagia, regurgitation, chest pain, weight loss. Swallowing disorders (dysphagia) occur as a result of a slowdown in the evacuation of Viagra pills into the stomach. With cardiospasm, this symptom has characteristic features: the passage of food is not disturbed immediately, but after 3-4 seconds after the start of swallowing; subjectively, a feeling of obstruction occurs not in the neck or throat, but in the chest area; paradoxicality of dysphagia - liquid food passes into the stomach worse than solid and dense.

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As a result of a violation of the act of swallowing, food masses can enter the trachea, bronchi or nasopharynx. This causes hoarseness, hoarseness, and a scratchy throat. Pain in the chest are bursting or spastic in nature. They are caused by stretching of the walls of the esophagus, pressure on the surrounding organs and irregular violent contractions of the muscle layer. Because of the pain, patients experience fear of Sildenafil, so they gradually lose weight. Weight loss is also associated with insufficient intake of nutrients through a spasmodic esophageal sphincter.

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Treatment with conservative methods is possible only up to the third stage - until cicatricial changes begin. Starting from the third stage, the treatment is only surgical with drug therapy and diet. Symptoms of achalasia of the esophagus. Another sign of achalasia cardia - regurgitation - is a passive (involuntary) flow of mucus or undigested food through the mouth. Regurgitation can occur after eating a large amount of food, when tilting the torso and in the supine position, in a dream.

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This disease proceeds in waves: periods of exacerbation and severe pain can be replaced by a time when the state of health is satisfactory. The main complications include the appearance of a strong narrowing of the scars of the cardia. In rare cases, the mucous membrane malignantly degenerates. Aspiration of pneumonia occurs. This is due to the ingestion of pieces of food in the respiratory tract of a person.

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All this is supplemented by inflammatory processes and depletion of the body. The latter is associated with a minimal intake of nutrients in the body. Due to disturbances in the functioning of the organs, adhesions and ulcers may appear.

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  • 10% %
    Therapy of the disease includes drug therapy and surgical treatment.
  • 1of2
    In the early stages of the disease, it is preferable to carry out minimally invasive interventions in combination with conservative therapy to prevent the development of complications and cicatricial degeneration of the lower esophageal sphincter.
  • 10
    In the later stages, surgical treatment is indicated in combination with medication.
  • 10% %
    In the medical treatment of achalasia cardia, the following groups of drugs are prescribed
  • 65 %

    Nitrates are analogues of nitroglycerin.

    They have a pronounced relaxing effect on the muscles of the lower esophageal sphincter, and in addition, contribute to the normalization of esophageal motility.
  • 110

    Calcium antagonists - verapamil and nifedipine (Corinfar).

    From this group, nitrosorbide, a prolonged form of nitroglycerin, is more often prescribed. Side effects may occur, such as severe headache, dizziness, and low blood pressure.
  • 1of2

    They have similar effects to nitroglycerin. Prokinetics - motilium, ganaton, etc.

    Contribute to the normal motility of the esophagus and other parts of the gastrointestinal tract, ensuring the movement of the food bolus into the stomach. Antispasmodics - drotaverine (no-shpa), papaverine, platifillin, etc. Effectively affect the smooth muscle fibers of the cardia, eliminating spasm of the lower esophageal sphincter. Sedative therapy is used viagra to normalize the emotional background of patients. Both herbal (St. John's wort, sage, motherwort, valerian) and medicines are used.
  • 85
    Pneumocardiodilation refers to minimally invasive methods of treatment and consists of a course of procedures with an interval of 4-5 days. Dilatation is carried out by introducing a balloon of a certain diameter (30 mm or more) into the lumen of the cardia under x-ray control or without it. Before the procedure, premedication is indicated - intravenous administration of sildenafil of atropine and diphenhydramine to reduce pain and vomiting. The essence of the method is to obtain an expansion of the cardia by stretching or tearing the muscle fibers in the constriction zone.
  • 80 %
    Surgical treatment is carried out in the later stages of the disease, as well as in cases where the use of cardiodilatation has not been successful. The essence of the operation is to dissect the muscle layer of the cardiac section, followed by suturing in the other direction and covering the sutured part with the wall of the stomach.
  • 25
    Already after the first procedure, a significant part of patients note the elimination of unpleasant symptoms of achalasia of the cardia.
  • 73 %
    The operation is indicated for the combination of achalasia cardia with a hernia of the esophageal opening of the diaphragm, diverticula of the esophagus, cancer of the cardial part of the stomach, the failure of instrumental dilatation of the esophagus, its ruptures.
  • 8.3
  • 4.5

    Average hours of therapy provided per day in our Inpatient program

  • 5 X

    A stable result in the treatment of achalasia of the cardia is achieved after surgical intervention - esophagocardiomyotomy - dissection of the cardia followed by plastic surgery (fundoplication).

  • 8
    If achalasia of the cardia is combined with duodenal ulcer, selective proximal vagotomy is additionally indicated.
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In the presence of severe peptic erosive and ulcerative reflux esophagitis and severe atony of the esophagus, proximal resection of the stomach and abdominal part of the esophagus is performed with the imposition of invaginated esophagogastroanastomosis and pyloroplasty.