Achalasia of cardia in children (literature review)

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Abstract

Introduction. The achalasia cardia care in children has an extremely wide range of issues, many of which are still not completely solved. The variety of treatment options for achalasia cardia indicates the lack of an ideal technique as well as unsolved essence of this problem. Discussions on the choice of optimal treatment modality are still going on, and new minimally invasive techniques are being developed and implemented. Though there is a positive feedback on the results of per oral endoscopic myotomy (POEM) , one can face a number of problems concerning surgical techniques, effectiveness criteria for postoperative monitoring as well as development of secondary gastroesophageal reflux and ways how to combat its manifestations.
Material and methods. The following databases were used: National Center for Biotechnology Information (https://www.ncbi.nlm.nih.gov/), scientific electronic library – eLIBRARY (https://elibrary.ru/defaultx.asp).
Conclusion. This review is an attempt to systematize current material on existing treatment options for achalasia cardia – from endoscopic to surgical ones. The authors also present results of their comparative analysis on various curative techniques for achalasia of the cardia.

About the authors

D. M. Chubko

Filatov City Children’s Hospital

Email: fake@neicon.ru
ORCID iD: 0000-0003-2269-945X

103001, Moscow

Россия

A. Y. Razumovsky

Filatov City Children’s Hospital; Pirogov Russian National Research Medical University

Email: fake@neicon.ru
ORCID iD: 0000-0003-3511-0456

103001, Moscow
117997, Moscow

Россия

Z. B. Mitupov

Filatov City Children’s Hospital; Pirogov Russian National Research Medical University

Author for correspondence.
Email: dr.mitupow@yandex.ru
ORCID iD: 0000-0002-0016-6444

Zorikto В. Mitupov, surgeon, Filatov City Children’s Hospital

103001, Moscow
117997, Moscow

Россия

A. B. Alkhasov

Filatov City Children’s Hospital

Email: fake@neicon.ru
ORCID iD: 0000-0002-0644-2198

103001, Moscow

Россия

References

  1. Gockel I., Sgourakis G., Drescher D.G. et al. Impact of minimally invasive surgery in the spectrum of current achalasia treatment options Scand. J. of Surg. 2011; 100(2): 72-7. https://doi.org/10.1177/145749691110000202
  2. Гребенев А.Л. Эзофагографическое исследование при нервно-мышечных заболеваниях пищевода. Актуальные вопросы клинической рентгенологии и радиологии. 1965; 89-91.
  3. Черноусов А.Ф., Богопольский П.М., Курбанов Ф.С. Хирургия пищевода. Руководство для врачей. М.: Медицина; 2000; 64-74.
  4. Петровский Б.В. Кардиоспазм и его хирургическое значение. В кн.: Труды XXVII Всесоюзного съезда хирургов. Москва, 23–28 мая 1960 г. М.: Медгиз, 1962; 162-73.
  5. Barbieri L.A., Hassan C., Rosati R., Romario U.F., Correale L., Repici A. Systematic review and meta-analysis: Efficacy and safety of POEM for achalasia. United European Gastroenterol J. 2015; 3(4): 325–34. https://doi.org/10.1177/2050640615581732
  6. Уткин В.В. Кардиоспазм. Рига: Зинатне; 1966; 309.
  7. Vela M.F., Richter J.E., Khandwala F. et al. The long-term efficacy of pneumatic dilatation and Heller myotomy for the treatment of achalasia. Clin Gastroenterol Hepatol. 2006; 4(5): 580–7. https://doi.org/10.1016/S1542-3565(05)00986-9
  8. Moonen A.J., Boeckxstaens G.E. Management of achalasia. Gastroenterol Clin North Am. 2013; 42(1): 45–55. https://doi.org/10.1016/j.gtc.2012.11.009
  9. Eckardt V.F. Clinical presentations and complications of achalasia. Gastrointest Endosc Clin N Am. 2001; 11(2): 281-92.
  10. Годжелло Е.А., Хрусталева М.В., Булганина Н.А., Шатверян Д.Г., Дехтяр М.А. Эндоскопическая баллонная дилатация при ахалазии сердца в эпоху оральной эндоскопической миотомии (ПОЭМА). Тридцатилетний опыт работы. Экспериментальная и клиническая гастроэнтерология. 2019; 164(4): 105-10. https://doi.org/10.31146/1682-8658-ecg-164-4-105-10 (in Russian)
  11. Орлова О.Р. Возможности и перспективы использования ботулотоксина в клинической практике. Русский медицинский журнал. 2006; 23: 3–10.
  12. Annese V., Bassotti G., Coccia G. et al. A multicentrerandomised study of intrasphincteric botulinum toxin in patients with oesophageal achalasia. GISMAD Achalasia Study Group. Gut. 2000; 46(5): 597-600. https://doi.org/10.1136/gut.46.5.597
  13. Leyden J.E., Moss A.C., MacMathuna P. Endoscopic pneumatic dilation versus botulinum toxin injection in the management of primary achalasia. Cochrane Database Syst Rev. 2006 Oct 18; (4): CD005046. https://doi.org/10.1002/14651858.CD005046.pub2
  14. Eckardt A.J., Eckardt V.F. Current clinical approach to achalasia. World J Gastroenterol. 2009; 15(32): 3969-75. https://doi.org/10.3748/wjg.15.3969
  15. Storr M., Born P., Frimberger E., Weigert N. et al. Treatment of achalasia: the short-term response to botulinum toxin injection seems to be independent of any kind of pretreatment. BMC Gastroenterol. 2002; 2: 19. https://doi.org/10.1186/1471-230x-2-19
  16. Ивашкин В.Т., Трухманов А.С., Годжелло Э.А. и соавт. Рекомендации Российской гастроэнтерологической ассоциации по диагностике и лечению ахалазии кардии и кардиоспазма. Российский журнал гастроэнтерологии, гепатологии, колопроктологии. 2016; 26(4): 36-54.
  17. Adams C.W., Brain R.H., Ellis F.G., Kauntze R., Trounce J.R. Achalasia of the cardia. Guys Hosp Rep. 1961; 110: 191–236.
  18. Ручкин Д.В., Цинь Я., Раевская М.Б., Бурякина С.А., Сизов В.А., Субботин В.В. Экстирпация пищевода при кардиоспазме IV стадии и его рецидиве после открытой и эндоскопической кардиомиотомии. Московский хирургический журнал. 2014; 3: 5-15.
  19. Петровский Б.В., Ванцян Э.Н., Черноусов А.Ф. Современное состояние хирургии пищевода. Хирургия. 1985; 5: 4-10.
  20. Jara F.M., Toledo-Pereyra L.H., Lewis J.W., Magilligan D.J.Jr. Long-term results of esophagomyotomy for achalasia of esophagus. Arch Surg. 1979; 114(8): 935–6. https://doi.org/10.1001/archsurg.1979.01370320067011
  21. Rossetti M. Esophagocardiomyotomy and Fundoplication: A Physiological Operation in Cardiospasm and Mega-Esophagus. Schweiz Med Wochenschr. 1963; 93: 925–31.
  22. Черноусов А.Ф., Царенко И.А. Лечение дисфагии кардиодилатацией после предшествующей операции на кардии по поводу кардиоспазма. Анналы Хирургии. 1998; 2: 37-41.
  23. Rebecchi F., Giaccone C., Farinella E., Campaci R., Morino M. Randomized controlled trial of laparoscopic Heller myotomy plus Dor fundoplication versus Nissen fundoplication for achalasia: long-term results. Ann Surg. 2008; 248(6): 1023-30. https://doi.org/10.1097/SLA.0b013e318190a776
  24. Campos G. M., Vittinghoff E., Rabl C., Takata M., Gadenstatter M., Lin F. et al. Endoscopic and surgical treatments for achalasia: a systematic review and meta-analysis. Ann Surg. 2009; 249(1): 45-57. https://doi.org/10.1097/SLA.0b013e31818e43ab
  25. Csendes A., Braghetto I., Burdiles P., Korn O., Csendes P., Henriquez A. Very late results of esophagomyotomy for patients with achalasia: clinical, endoscopic, histologic, manometric, and acid reflux studies in 67 patients for a mean follow-up of 190 months. Ann Surg. 2006; 243(2): 196-20. https://doi.org/10.1097/01.sla.0000197469.12632.e0.
  26. Федоров Е.Д., Иноуе Х., Селезнев Д.Е., Иванова Е.В., Юдин О.И. Пероральная эндоскопическая миотомия при ахалазии кардии: методика и непосредственные результаты первых вмешательств. Медицинский совет. 2015; 13: 130-2. https://doi.org/10.21518/2079-701X-2015-13-130-132
  27. Stefanidis D., Richardson W., Farrell T.M., Kohn G.P., Augenstein V., Fanelli R.D. SAGES guidelines for the surgical treatment of esophageal achalasia. Surg Endosc. 2012; 26(2): 296–31. https://doi.org/10.1007/s00464-011-2017-2
  28. Nomura T., Miyashita M., Makino H. Usefulness of the laparoscopic Heller-Dor operation for esophageal achalasia: introducing the procedure to our institution. J Nippon Med Sch. 2008; 75(4): 207-11. https://doi.org/10.1272/jnms.75.207
  29. Kilic A., Schuchert M., Pennathur A., Landreneau R.J., Alvelo-Rivera M., Christie N.A. Minimally invasive myotomy for achalasia in the elderly. Surg. Endosc. 2008; 22(4): 862-5. https://doi.org/10.1007/s00464-007-9657-2
  30. Patti M.G., Herbella F.A. Fundoplication after laparoscopic Heller myotomy for esophageal achalasia: what type? J Gastrointest Surg. 2010; 14(9): 1453–8. https://doi.org/10.1007/s11605-010-1188-9
  31. Jafri M., Alonso M., Kaul A., Dierig J., Racadio J., Inge Th. Intraoperative manometry during laparoscopic Heller myotomy improves outcome in pediatric achalasia. J Pediatr Surg. 2008; 43(1): 66–70. https://doi.org/10.1016/j.jpedsurg.2007.09.019
  32. Hill L.D. Intraoperative measurement of lower esophageal sphincter pressure. J Thorac Cardiovasc Surg. 1978; 75(3): 378-82.
  33. Chapman J.R., Joehl R.J., Murayama K.M., Tatum R.T., Shi J., Hirano I. et al. Achalasia treatment: improved outcome of laparoscopic myotomy with operative manometry. Arch. Surg. 2004; 139(5): 508-13. https://doi.org/10.1001/archsurg.139.5.508
  34. Smith C.D., Stival A., Howell D.L. Endoscopic therapy for achalasia before Heller myotomy. Results in worse outcomes than Heller myotomy alone. Ann. Surg. 2006; 243(5): 579-86. https://doi.org/10.1097/01.sla.0000217524.75529.2d
  35. Deb S., Deschamps C., Allen M.S., Nichols F.C. 3rd, Cassivi S.D., Crownhart B.S. et al. Laparoscopic esophageal myotomy for achalasia: factors affecting functional results. Ann Thorac Surg. 2005; 80(4): 1191-4; discussion 1194-5. https://doi.org/10.1016/j.athoracsur.2005.04.008
  36. Beckingham I.J., Callanan M., Louw J.A., Bornman P.C. Laparoscopic cardiomyotomy for achalasia after failed balloon dilatation. Surg Endosc. 1999; 13(5): 493-6. https://doi.org/10.1007/s004649901020
  37. Patti M.G., Feo C.V., Arcerito M., De Pinto M., Tamburini A., Diener U. et al. Effects of previous treatment on results of laparoscopic Heller myotomy for achalasia. Dig Dis Sci. 1999; 44(11): 2270-6. https://doi.org/10.1023/a:1026660921776
  38. Gockel I., Junginger T., Bernhard G., Eckardt V.F. Heller myotomy for failed pneumatic dilation in achalasia: how effective is it? Ann Surg. 2004; 239(3): 371-7. https://doi.org/10.1097/01.sla.0000114228.34809.01
  39. Payne W.S., King R.M. Treatment of achalasia of the esophagus. Surg Clin North Am. 1983; 63(4): 963–70. https://doi.org/10.1016/s0039-6109(16)43097-5
  40. Horgan S., Galvani C., Gorodner M.V., Omelanczuck P., Elli F., Moser F. et al. Robotic-assisted Heller myotomy versus laparoscopic Heller myotomy for the treatment of esophageal achalasia: multicenter study. J Gastrointest Surg. 2005; 9(8): 1020-9; discussion 1029-30. https://doi.org/10.1016/j.gassur.2005.06.026
  41. Huffmanm L.C., Pandalai P.K., Boulton B.J., James L., Starnes S.L., Reed M.F. et al. Robotic Heller myotomy: a safe operation with higherpostoperative quality-of-life indices. Surgery. 2007; 142(4): 613-18; discussion 618-20. https://doi.org/10.1016/j.surg.2007.08.003
  42. Maeso S., Reza M., Mayol J.A., Blasco J.A., Guerra M., Andradas E. et al. Efficacy of the Da Vinci surgical system in abdominal surgery compared with that of laparoscopy: a systematic review and meta-analysis. Ann Surg. 2010; 252(2): 254-62. https://doi.org/10.1097/SLA.0b013e3181e6239e
  43. Pasricha P. J., Hawari R., Ahmed I., Chen J., Cotton P. B., Hawes R. H. et al. Submucosal endoscopic esophageal myotomy: a novel experimental approach for the treatment of achalasia. Endoscopy. 2007; 39(9): 761-4. https://doi.org/10.1055/s-2007-966764
  44. Inoue H., Tianle K. M., Ikeda H., Hosoya T., Onimaru M., Yoshida A. et al. Peroral endoscopic myotomy for esophageal achalasia: technique, indication, and outcomes. Thorac Surg Clin. 2011; 21(4): 519-25. https://doi.org/10.1016/j.thorsurg.2011.08.005
  45. Inoue H., Minami H., Kobayashi Y., Sato Y., Kaga M., Suzuki M. et al. Peroral endoscopic myotomy (POEM) for esophageal achalasia. Endoscopy. 2010; 42(4): 265-71. https://doi.org/10.1055/s-0029-1244080
  46. Von Renteln D., Inoue H., Minami H., Werner Y.B., Pace A., Kersten J F. et al. Peroral endoscopic myotomy for the treatment of achalasia: a prospective single center study. Am J Gastroenterol. 2012; 107(3): 411–7. https://doi.org/10.1038/ajg.2011.388
  47. Ngamruengphong S., Inoue H., Chiu P. W., Yip H.C., Bapaye A., Ujiki M. et al. Longterm outcomes of peroral endoscopic myotomy in patients with achalasia with a minimum followup of 2 years: an international multicenter study. GastrointestEndosc. 2017; 85(5): 927–33.e2. https://doi.org/10.1016/j.gie.2016.09.017
  48. Stavropoulos S.N., Modayil R.J., Friedel D., Savides T. The international per oral endoscopic myotomy survey (IPOEMS): a snapshot of the global POEM experience. Surg Endosc. 2013; 27(9): 3322–38. https://doi.org/10.1007/s00464-013-2913-8
  49. Guo H., Yang H., Zhang X., Wang L., Lv Y., Zou X. et al. Long-term outcomes of peroral endoscopic myotomy for patients with achalasia: a retrospective single-center study. Dis Esophagus. 2017; 30(5): 1–6. https://doi.org/10.1093/dote/dow011
  50. Stavropoulos S.N., Modayil R., Friedel D. Achalasia. Gastrointest. Endosc. Clin. Am. 2013; 23(1): 53–75. https://doi.org/10.1016/j.giec.2012.10.008
  51. Bechara R., Ikeda H., Inoue H. Peroral endoscopic myotomy: an evolving treatment for achalasia. Nat Rev Gastroenterol Hepatol. 2015; 12(7): 410–26. https://doi.org/10.1038/nrgastro.2015.87
  52. Inoue H., Minami H., Kobayashi Y., Sato Y., Kaga M., Suzuki M. et al. Peroral endoscopic myotomy (POEM) for esophageal achalasia. Endoscopy. 2010; 42(4): 265-71. https://doi.org/10.1055/s-0029-1244080
  53. Шишин К.В., Казакова С.С., Недолужко И.Ю. Пероральная эндоскопическая миотомия. Альманах Института хирургии им. А.В. Вишневского. 2016; 1: 181-2.
  54. Федотов Л.Е., Федотов Б.Л., Оглоблин А.Л., Мамедов Ш.Д. Нежелательные явления при проведении пероральной эндоскопической кардиомиотомии. В кн.: Сборник материалов VI Всероссийской научно-практической конференции “Актуальные вопросы эндоскопии 2015”, Санкт-Петербург, 26–28 марта 2015. СПб.; 2015.
  55. Choné A., Familiari P., von Rahden B., Desai P., Inoue H., Shimamura Y. et al. Multicenter Evaluation of Clinical Efficacy and Safety of Per-oral Endoscopic Myotomy in Children. J of Pediatr Gastroenterol Nutr. 2019; 69(5): 523-7. https://doi.org/10.1097/MPG.0000000000002432
  56. Liu Z., Wang Y., Fang Y., Huang Y., Yang H., Ren X. Short-term safety and efficacy of peroral endoscopic myotomy for the treatment of achalasia in children. J Gastroenterol. 2020; 55(2): 159-68. https://doi.org/10.1007/s00535-019-01607-4
  57. Stavropoulos S.N., Modayil R., Friedel D. Per oral endoscopic myotomy for the treatment of achalasia. Curr Opin Gastroenterol. 2015; 31(5): 430–40. https://doi.org/10.1097/MOG.0000000000000206
  58. Patel K., Abbassi-Ghadi N., Markar S., Kumar S., Jethwa P., Zaninotto G. Peroral endoscopic myotomy for the treatment of esophageal achalasia: systematic review and pooled analysis. Dis Esophagus. 2016; 29(7): 807–19. https://doi.org/10.1111/dote.12387
  59. Lee Y., Brar K., Doumouras A.G., Hong D. Peroral endoscopic myotomy (POEM) for the treatment of pediatric achalasia: a systematic review and meta-analysis. SurgEndosc. 2019; 33(6): 1710-20. https://doi.org/10.1007/s00464-019-06701-5

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