Surgical treatment of achalasia in combination with axial sliding hiatal hernia. Clinical case

Authors

  • Alin Bour Nicolae Testemițanu State University of Medicine and Pharmacy https://orcid.org/0000-0001-6316-0763
  • Cristina Cojocaru Nicolae Testemițanu State University of Medicine and Pharmacy https://orcid.org/0000-0001-9814-5467
  • Andrei Sîngereanu "Saint Archangel Michael" Municipal Clinical Hospital
  • Ninela Bour Clinical Hospital of the Ministry of Health of Moldova
  • Daniela Bandas "Saint Archangel Michael" Municipal Clinical Hospital

Keywords:

Heller Esophagocardiomyotomy, Fundoplication Dor, reflux - gastroesophageal disease

Abstract

Achalasia is an esophageal motility disorder of unknown etiology, characterized by increased pressure of the lower esophageal sphincter with an incidence of approximately 1-4 per 100,000 inhabitants with affecting both sexes. In this article we present a clinical case of a 63 years old man, diagnosed with Achalasia, Axial hiatal sliding hernia of II-III degree. Gastroesophageal reflux disease with reflux esophagitis that was surgicaly treated by “Esophagocardiomyotomy Heller. Fundoplication Dor”. The aim of the article is to analyze the results after appliyng surgical techniques of a patient with the diagnosis of Achalasia cardi concomitant with axial hiatal hernia. The patient was operated with a favorable postoperative evolution without complications.

References

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4. RichardsWO, et al. Heller myotomy versus Heller myotomy with Dor fundoplication for achalasia: a prospective randomized double-blind clinical trial. In: Ann Surg, 2004, vol. 240, p. 405-4127. https://doi.org/10.1097/01.sla.0000136940.32255.51

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Published

2026-04-26

How to Cite

[1]
Bour, A. et al. 2026. Surgical treatment of achalasia in combination with axial sliding hiatal hernia. Clinical case. Public Health Economy and Management in Medicine. 2(93) (Apr. 2026), 118–121.

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