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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">clinendo</journal-id><journal-title-group><journal-title xml:lang="ru">Клиническая эндоскопия</journal-title><trans-title-group xml:lang="en"><trans-title>Filin’s Clinical endoscopy</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2415-7813</issn><publisher><publisher-name>"Global Media technology" Ltd</publisher-name></publisher></journal-meta><article-meta><article-id custom-type="elpub" pub-id-type="custom">clinendo-510</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>КЛИНИЧЕСКИЕ НАБЛЮДЕНИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL OBSERVATIONS</subject></subj-group></article-categories><title-group><article-title>Первый опыт лечения ахалазии кардии методом пероральной эндоскопической миотомии</article-title><trans-title-group xml:lang="en"><trans-title></trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Роман</surname><given-names>Л. Д.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ткаченко</surname><given-names>О. Б.</given-names></name></name-alternatives><email xlink:type="simple">tkachenkoob@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Смирнов</surname><given-names>А. А.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лукьянчук</surname><given-names>Р. М.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шостка</surname><given-names>К. Г.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Давидовская</surname><given-names>Л. И.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ткаченко</surname><given-names>С. В.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сергеенко</surname><given-names>С. В.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Закусова</surname><given-names>Е. А.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff xml:lang="ru" id="aff-1"><institution>ГУБЗ «Ленинградский областной онкологический диспансер»</institution><country>Russian Federation</country></aff><pub-date pub-type="collection"><year>2012</year></pub-date><pub-date pub-type="epub"><day>09</day><month>12</month><year>2025</year></pub-date><issue>2</issue><fpage>48</fpage><lpage>53</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Роман Л.Д., Ткаченко О.Б., Смирнов А.А., Лукьянчук Р.М., Шостка К.Г., Давидовская Л.И., Ткаченко С.В., Сергеенко С.В., Закусова Е.А., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Роман Л.Д., Ткаченко О.Б., Смирнов А.А., Лукьянчук Р.М., Шостка К.Г., Давидовская Л.И., Ткаченко С.В., Сергеенко С.В., Закусова Е.А.</copyright-holder><copyright-holder xml:lang="en">Роман Л.Д., Ткаченко О.Б., Смирнов А.А., Лукьянчук Р.М., Шостка К.Г., Давидовская Л.И., Ткаченко С.В., Сергеенко С.В., Закусова Е.А.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://clinendo.elpub.ru/jour/article/view/510">https://clinendo.elpub.ru/jour/article/view/510</self-uri></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Boztas G., Mungan Z., Ozdil S., Akyuz F., Karaca C., Demir K., Kaymakoglu S., Besisik F., Cakaloglu Y., Okten A. Pneumatic balloon dilatation in primary achalasia: the long-term follow-up results. // Hepatogastroenterology. 2005 Mar-Apr;52(62):475-80.</mixed-citation><mixed-citation xml:lang="en">Boztas G., Mungan Z., Ozdil S., Akyuz F., Karaca C., Demir K., Kaymakoglu S., Besisik F., Cakaloglu Y., Okten A. Pneumatic balloon dilatation in primary achalasia: the long-term follow-up results. // Hepatogastroenterology. 2005 Mar-Apr;52(62):475-80.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Becker K., Biesenbach S., Erckenbrecht J.F., Frieling T. Effect of balloon compliance on symptomatic success of pneumatic dilation in achalasia patients. // Z. Gastroenterol. 2001 Oct;39( 10):831 -6.</mixed-citation><mixed-citation xml:lang="en">Becker K., Biesenbach S., Erckenbrecht J.F., Frieling T. Effect of balloon compliance on symptomatic success of pneumatic dilation in achalasia patients. // Z. Gastroenterol. 2001 Oct;39( 10):831 -6.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Campos G.M, Vittinghoff E, Rabl C, Takata M, Gadenst tter M, Lin F, Ciovica R. Endoscopic and surgical treatments for achalasia: a systematic review and meta-analysis. //Ann Surg. 2009 Jan;249(1):45-57.</mixed-citation><mixed-citation xml:lang="en">Campos G.M, Vittinghoff E, Rabl C, Takata M, Gadenst tter M, Lin F, Ciovica R. Endoscopic and surgical treatments for achalasia: a systematic review and meta-analysis. //Ann Surg. 2009 Jan;249(1):45-57.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Chan K.C., Wong S.K., Lee D.W., Mui W.L., Chan A.C., Ng E.K., Wu J.C., Sung J.J., Chung S.C. Short-term and long-term results of endoscopic balloon dilation for achalasia: 12 years’ experience. // Endoscopy. 2004 Aug;36(8):690-4.</mixed-citation><mixed-citation xml:lang="en">Chan K.C., Wong S.K., Lee D.W., Mui W.L., Chan A.C., Ng E.K., Wu J.C., Sung J.J., Chung S.C. Short-term and long-term results of endoscopic balloon dilation for achalasia: 12 years’ experience. // Endoscopy. 2004 Aug;36(8):690-4.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Da Silveira E.B., Rogers A.I. Treatment of achalasia with. botulinumA toxin. // Am J Ther. 2002 Mar-Apr;9(2): 157-61.</mixed-citation><mixed-citation xml:lang="en">Da Silveira E.B., Rogers A.I. Treatment of achalasia with. botulinumA toxin. // Am J Ther. 2002 Mar-Apr;9(2): 157-61.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Dobrucali A., Erzin Y., Tuncer М., Dirican A. Long-term results of graded pneumatic dilatation under endoscopic guidance in patients with primary esophageal achalasia // World J. , Gastroenterol. 2004 Nov 15; 10(22):3322-7.</mixed-citation><mixed-citation xml:lang="en">Dobrucali A., Erzin Y., Tuncer М., Dirican A. Long-term results of graded pneumatic dilatation under endoscopic guidance in patients with primary esophageal achalasia // World J. , Gastroenterol. 2004 Nov 15; 10(22):3322-7.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Eckardt V.F., Gockel I. and Bernhard G. Pneumatic dilation for achalasia: late results of a prospective follow up investigation // Gut 2004;53:629-633</mixed-citation><mixed-citation xml:lang="en">Eckardt V.F., Gockel I. and Bernhard G. Pneumatic dilation for achalasia: late results of a prospective follow up investigation // Gut 2004;53:629-633</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Farhoomand К., Connor J.T., Richter J.E., Achkar Е., Vaezi M.F. Predictors of outcome of pneumatic dilation in achalasia.//Clin. GastroenterolHepatol. 2004 May;2(5):389-94.</mixed-citation><mixed-citation xml:lang="en">Farhoomand К., Connor J.T., Richter J.E., Achkar Е., Vaezi M.F. Predictors of outcome of pneumatic dilation in achalasia.//Clin. GastroenterolHepatol. 2004 May;2(5):389-94.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Ghoshal U.C., Kumar S., Saraswat V.A., Aggarwal R., Misra A., Choudhuri G. Long-term follow-up after pneumatic dilation for achalasia cardia: factors associated with treatment failure and recurrence. //Am. J. Gastroenterol. 2004 Dec;99(12):2304-10.</mixed-citation><mixed-citation xml:lang="en">Ghoshal U.C., Kumar S., Saraswat V.A., Aggarwal R., Misra A., Choudhuri G. Long-term follow-up after pneumatic dilation for achalasia cardia: factors associated with treatment failure and recurrence. //Am. J. Gastroenterol. 2004 Dec;99(12):2304-10.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Gockel I , Junginger Т., Bernhard G., Eckardt V.F. Heller myotomy for failed pneumatic dilation in achalasia: how effective is it?// Ann Surg. 2004 Mar;239(3):371-7.</mixed-citation><mixed-citation xml:lang="en">Gockel I , Junginger Т., Bernhard G., Eckardt V.F. Heller myotomy for failed pneumatic dilation in achalasia: how effective is it?// Ann Surg. 2004 Mar;239(3):371-7.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Hungness E. Per oral Endoscopic Myotomy (POEM): Achalasia Treatment options and Expected outcomes// SAGES PG Course 2012</mixed-citation><mixed-citation xml:lang="en">Hungness E. Per oral Endoscopic Myotomy (POEM): Achalasia Treatment options and Expected outcomes// SAGES PG Course 2012</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Hunt D.R., Wills V.L., Weis B., Jorgensen J.O., DeCarle D.J., Coo I.J. Management of esophageal perforation after pneumatic dilation for achalasia.//J. Gastrointest Surg. 2000 Jul-Aug;4(4):411-5.</mixed-citation><mixed-citation xml:lang="en">Hunt D.R., Wills V.L., Weis B., Jorgensen J.O., DeCarle D.J., Coo I.J. Management of esophageal perforation after pneumatic dilation for achalasia.//J. Gastrointest Surg. 2000 Jul-Aug;4(4):411-5.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Imperiale T.F., O’Connor J.B., Vaezi M.F., Richter J.E. A cost-minimization analysis of alternative treatment strategies for achalasia.//Am J Gastroenterol. 2000 Oct;95( 10):2737-45.</mixed-citation><mixed-citation xml:lang="en">Imperiale T.F., O’Connor J.B., Vaezi M.F., Richter J.E. A cost-minimization analysis of alternative treatment strategies for achalasia.//Am J Gastroenterol. 2000 Oct;95( 10):2737-45.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Kahrilas P.J. Esophageal motility disorders: current concepts of pathogenesis and treatment. Can J Gastroenterol. 2000 Mar;14(3):221-31.</mixed-citation><mixed-citation xml:lang="en">Kahrilas P.J. Esophageal motility disorders: current concepts of pathogenesis and treatment. Can J Gastroenterol. 2000 Mar;14(3):221-31.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Khan A. A., Shah S.W., Alam A., Butt A. K., Shafqat F. Sixteen years follow up of achalasia: a prospective study of graded dilatation using Rigiflex balloon.//Dis Esophagus. 2005; 18( 1 ):41 -5.</mixed-citation><mixed-citation xml:lang="en">Khan A. A., Shah S.W., Alam A., Butt A. K., Shafqat F. Sixteen years follow up of achalasia: a prospective study of graded dilatation using Rigiflex balloon.//Dis Esophagus. 2005; 18( 1 ):41 -5.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Kharrat J., Kchaou Ouakaa A., Belhadj N. Gargouri D., Romani М., Kochlef A., Kilani A., Ghorbel A. Pneumatic dilatation in esophageal achalasia. Report of 61 cases//Tunis Med. 2003 Nov;81(11):864-9.</mixed-citation><mixed-citation xml:lang="en">Kharrat J., Kchaou Ouakaa A., Belhadj N. Gargouri D., Romani М., Kochlef A., Kilani A., Ghorbel A. Pneumatic dilatation in esophageal achalasia. Report of 61 cases//Tunis Med. 2003 Nov;81(11):864-9.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Mikaeli J., Bishehsari F., Montazeri G., Yaghoobi M., Malekzadeh R. Pneumatic balloon dilatation in achalasia: a prospective comparison of safety and efficacy with different balloon diameters. //Aliment PharmacolTher. 2004 Aug 15;20(4):431 -6.</mixed-citation><mixed-citation xml:lang="en">Mikaeli J., Bishehsari F., Montazeri G., Yaghoobi M., Malekzadeh R. Pneumatic balloon dilatation in achalasia: a prospective comparison of safety and efficacy with different balloon diameters. //Aliment PharmacolTher. 2004 Aug 15;20(4):431 -6.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Muehldorfer S.М., Schneider Т.Н., Hochberger J., Martus P., Hahn E.G., Ell C. Esophageal achalasia: intrasphincteric injection of botulinum toxin A versus balloon dilation. //Endoscopy. 1999 Sep;31(7):517-21.</mixed-citation><mixed-citation xml:lang="en">Muehldorfer S.М., Schneider Т.Н., Hochberger J., Martus P., Hahn E.G., Ell C. Esophageal achalasia: intrasphincteric injection of botulinum toxin A versus balloon dilation. //Endoscopy. 1999 Sep;31(7):517-21.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Park W, Vaezi M.F.Etiology and pathogenesis of achalasia: the current understanding.//Am. J. Gastroenterol. 2005 Jun; 100(6): 1404-14.</mixed-citation><mixed-citation xml:lang="en">Park W, Vaezi M.F.Etiology and pathogenesis of achalasia: the current understanding.//Am. J. Gastroenterol. 2005 Jun; 100(6): 1404-14.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Salis G.B., Mazzadi S.A., Garcia A.O., Chiocca J.C. Pneumatic dilatation in achalasia of the esophagus: a report from Argentina.// Dis Esophagus. 2004; 17(2): 124-8.</mixed-citation><mixed-citation xml:lang="en">Salis G.B., Mazzadi S.A., Garcia A.O., Chiocca J.C. Pneumatic dilatation in achalasia of the esophagus: a report from Argentina.// Dis Esophagus. 2004; 17(2): 124-8.</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Vela M.F., Richter J.E., Wachsberger D., Connor J., Rice T.W.Complexities of managing achalasia at a tertiary referral center: use of pneumatic dilatation, Heller myotomy, and botulinum toxin injection. //Am J Gastroenterol. 2004 Jun;99(6): 1029-36.</mixed-citation><mixed-citation xml:lang="en">Vela M.F., Richter J.E., Wachsberger D., Connor J., Rice T.W.Complexities of managing achalasia at a tertiary referral center: use of pneumatic dilatation, Heller myotomy, and botulinum toxin injection. //Am J Gastroenterol. 2004 Jun;99(6): 1029-36.</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Von Renteln D, Inoue H, Minami H, Werner Y.B, Pace A, Kersten J.F, Much C.C, Schachschal G, Mann O, Keller J, Fuchs K.H, R sch T. Peroral endoscopic myotomy for the treatment of achalasia: a prospective single center study. //Am J Gastroenterol. 2012 Mar;107(3):411-7.</mixed-citation><mixed-citation xml:lang="en">Von Renteln D, Inoue H, Minami H, Werner Y.B, Pace A, Kersten J.F, Much C.C, Schachschal G, Mann O, Keller J, Fuchs K.H, R sch T. Peroral endoscopic myotomy for the treatment of achalasia: a prospective single center study. //Am J Gastroenterol. 2012 Mar;107(3):411-7.</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">(аплингер Ю.И., (оджелло Э.А. Оперативная эндоскопия пищевода. // Москва 1999г. 273стр</mixed-citation><mixed-citation xml:lang="en">(аплингер Ю.И., (оджелло Э.А. Оперативная эндоскопия пищевода. // Москва 1999г. 273стр</mixed-citation></citation-alternatives></ref><ref id="cit24"><label>24</label><citation-alternatives><mixed-citation xml:lang="ru">Скворцов М.Б., Журавлев С.В., Шинкарев Н.В., Трухан Р.Г. Эндоскопические методики дилатации при кардиоспазме. Обеспечение безопастности. // Сб. тезисов 2-го Московского международного конгресса по эндоскопической хирургии. - Москва, 1997: 326-327.</mixed-citation><mixed-citation xml:lang="en">Скворцов М.Б., Журавлев С.В., Шинкарев Н.В., Трухан Р.Г. Эндоскопические методики дилатации при кардиоспазме. Обеспечение безопастности. // Сб. тезисов 2-го Московского международного конгресса по эндоскопической хирургии. - Москва, 1997: 326-327.</mixed-citation></citation-alternatives></ref><ref id="cit25"><label>25</label><citation-alternatives><mixed-citation xml:lang="ru">Черноусов А.Ф., Богопольский П.М., Курбанов Ф.С. Хирургия пищевода: Руководство для врачей. - М.: Медицина 2000 г.- 352 с.</mixed-citation><mixed-citation xml:lang="en">Черноусов А.Ф., Богопольский П.М., Курбанов Ф.С. Хирургия пищевода: Руководство для врачей. - М.: Медицина 2000 г.- 352 с.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
