THE FIRST EXPERIENCE OF PERORAL ENDOSCOPIC MYOTOMY IN THE REPUBLIC OF TATARSTAN

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M.V. Burmistrov^1,2, A.A. Smirnov³, M.A. Nazmeev¹

¹Republican Clinical Hospital, Kazan

²Kazan (Volga Region) Federal University, Kazan

³Pavlov First Saint Petersburg State Medical University, Saint Petersburg

Nazmeev Marat A. ― Cand. of Sci. (Med.), Head of the Endoscopy Department of the Republican Clinical Hospital

138 Orenburskiy tract, building A, Kazan, 420064, Russian Federation, tel. +7-937-611-36-99, e-mail: 77nma@mail.ru, ORCID ID: 0000-0003-1442-0885

Abstract. Peroral endoscopic myotomy (POEM) was first performed by Haruhiro Inoue in 2008 at Showa University Northern Yokohama Hospital. Since then, this method has become widespread in the treatment of cardiac achalasia (СA).

On the basis of the surgical thoracic department №2 of the Republican Clinical Hospital of the Ministry of Health of the Republic of Tatarstan, for the first time in the Republic of Tatarstan, POEM was successfully performed in 3 patients with a diagnosis of cardiac achalasia. The postoperative period passed without features. Patient were discharged in a satisfactory condition on the 7^th day.

Key words: cardiac achalasia (CA), cardiospasm, lower esophageal sphincter (LES), Chicago classification of esophageal motility disorders, pneumatic dilatation, oral endoscopic myotomy.