THE FIRST EXPERIENCE OF PERORAL ENDOSCOPIC MYOTOMY IN RECURRENT ACHALASIA CARDIA IN THE KYRGYZ REPUBLIC

The first experience of successful peroral endoscopic myotomy in recurrent achalasia cardia in the Kyrgyz Republic is presented. The clinical case of a 38-year-old patient with a recurrence of achalasia cardia, who had previously performed the myotomy with a temporary positive effect, is described. The article describes in detail the stages of the myotomy operation, the equipment used, as well as the results of treatment and the dynamics of clinical symptoms. The safety and effectiveness of the myotomy operation in relieving dysphagia, as well as the technical difficulties that arose during the operation due to fibrous changes, are emphasized. It is concluded that it is necessary to conduct the myotomy in specialized centers with experienced specialists and modern equipment.