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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">spractice</journal-id><journal-title-group><journal-title xml:lang="ru">Хирургическая практика</journal-title><trans-title-group xml:lang="en"><trans-title>Surgical practice (Russia)</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2223-2427</issn><publisher><publisher-name>АНО "Консорциум "Медицинская техника"</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.38181/2223-2427-2020-3-36-43</article-id><article-id custom-type="elpub" pub-id-type="custom">spractice-180</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>Статьи</subject></subj-group></article-categories><title-group><article-title>АХАЛАЗИЯ КАРДИИ: ОСОБЕННОСТИ ДИАГНОСТИКИ И ЭФФЕКТИВНЫЕ МЕТОДЫ ЛЕЧЕНИЯ. ОБЗОР</article-title><trans-title-group xml:lang="en"><trans-title>ACHALASIA: DIAGNOSTIC FEATURES AND EFFECTIVE TREATMENT METHODS. REVIEW</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6359-0998</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Галлямов</surname><given-names>Э. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Galliamov</surname><given-names>E. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Галлямов Эдуард Абдулхаевич — д. м. н., профессор, заведующий кафедрой общей хирургии ИКМ</p><p>119146, Россия, г. Москва, ул. Большая Пироговская, д.19, стр. 1.</p></bio><bio xml:lang="en"><p>Eduard A. Galliamov — MD, Professor, Head of the Department of General Surgery</p><p>Bolshaya Pirogovskaya St., 19/1, 119146, Moscow, Russian Federation</p></bio><email xlink:type="simple">gal_svetlana@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1083-8678</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ерин</surname><given-names>С. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Erin</surname><given-names>S. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ерин Сергей Александрович — заместитель главного врача по хирургии</p><p>127206, Россия, Москва, ул. Вучетича, д. 21</p></bio><bio xml:lang="en"><p>Sergey A. Erin — MD, Deputy Director of the surgical care</p><p>Vucheticha St., 21., 127206, Moscow, Russian Federation</p></bio><email xlink:type="simple">sererin@yandex.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6569-7078</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Агапов</surname><given-names>М. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Agapov</surname><given-names>M. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Агапов Михаил Андреевич — д. м. н., профессор кафедры хирургии ФФМ</p><p>Россия, 119991 (119192), г. Москва, Ломоносовский проспект, д.27, к.10</p></bio><bio xml:lang="en"><p>Mikhail A. Agapov — MD, Professor at the Department of Surgery</p><p>Leninskie Gory St., 1, 119991, Moscow, Russian Federation</p></bio><email xlink:type="simple">getinfo911@mail.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1060-1163</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Горбачева</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Gorbacheva</surname><given-names>I. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Горбачева Ирина Викторовна — к. м. н., доцент кафедры общей хирургии ИКМ</p><p>119146, Россия, г. Москва, ул. Большая Пироговская, д.19, стр. 1.</p></bio><bio xml:lang="en"><p>Gorbacheva V. Irina — MD, PhD, associate professor at the Department of General Surgery</p><p>Bolshaya Pirogovskaya St., 19/1, 119146, Moscow, Russian Federation</p></bio><email xlink:type="simple">irvic2@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7965-6509</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Юркулиев</surname><given-names>Н. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Yurkyliev</surname><given-names>N. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Юркулиев Назир Абдулвагабович — врач-хирург</p><p>127206, Россия, Москва, ул. Вучетича, д. 21</p></bio><bio xml:lang="en"><p>Nasir A. Yurkyliev — MD, surgeon</p><p>Vucheticha St., 21., 127206, Moscow, Russian Federation</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-9279-8600</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гололобов</surname><given-names>Г. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Gololobov</surname><given-names>G. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Гололобов Григорий Юрьевич — клинический ординатор кафедры общей хирургии ИКМ</p><p>119146, Россия, г. Москва, ул. Большая Пироговская, д.19, стр. 1.</p></bio><bio xml:lang="en"><p>Grigorii Yu. Gololobov — Resident at the Department of General Surgery</p><p>Bolshaya Pirogovskaya St., 19/1, 119146, Moscow, Russian Federation</p></bio><email xlink:type="simple">grriffan@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0547-2085</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гадлевский</surname><given-names>Г. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Gadlevskiy</surname><given-names>G. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Гадлевский Глеб Сергеевич — аспирант кафедры общей хирургии ИКМ</p><p>119146, Россия, г. Москва, ул. Большая Пироговская, д.19, стр. 1.</p></bio><bio xml:lang="en"><p>Gleb S. Gadlevskiy — PhD student at the Department of General Surgery</p><p>Bolshaya Pirogovskaya St., 19/1, 119146, Moscow, Russian Federation</p></bio><email xlink:type="simple">gleb_gadlevskiy@icloud.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>Косяков</surname><given-names>Н. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Kosyakov</surname><given-names>A. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Косяков Николай Андреевич — врач-анестезиолог-реаниматолог</p><p>127206, Россия, Москва, ул. Вучетича, д. 21</p></bio><bio xml:lang="en"><p>Kosyakov A. Nikolay — MD, anesthesiologist</p><p>Vucheticha St., 21., 127206, Moscow, Russian Federation</p></bio><email xlink:type="simple">nick_982@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9543-4439</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Чичерина</surname><given-names>М. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Chicherina</surname><given-names>M. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Чичерина Мария Алексеевна — студент</p><p>119146, Россия, г. Москва, ул. Большая Пироговская, д.19, стр. 1.</p></bio><bio xml:lang="en"><p>Maria A. Chicherina — Student</p><p>Bolshaya Pirogovskaya St., 19/1, 119146, Moscow, Russian Federation</p></bio><email xlink:type="simple">marichicherina@icloud.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8853-3394</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бурмистров</surname><given-names>А. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Burmistrov</surname><given-names>A. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Бурмистров Александр Игоревич — студент</p><p>127473, Россия, г. Москва, ул. Делегатская, д. 20, стр. 1</p></bio><bio xml:lang="en"><p>Alexandr I. Burmistrov — Student</p><p>Delegatskaya St., 20/1, 127473, Moscow, Russian Federation</p></bio><email xlink:type="simple">aibur3619@gmail.com</email><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6931-2649</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Саруханян</surname><given-names>И. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Sarukhanyan</surname><given-names>I. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Саруханян Илона Гагиковна — студент</p><p>119146, Россия, г. Москва, ул. Большая Пироговская, д.19, стр. 1.</p></bio><bio xml:lang="en"><p>Sarukhanyan G. Ilona — Student</p><p>Bolshaya Pirogovskaya St., 19/1, 119146, Moscow, Russian Federation</p></bio><email xlink:type="simple">isaruxanyan@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГАОУ ВО «Первый московский государственный медицинский университет имени И. М. Сеченова» МЗ РФ (Сеченовский университет)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal State Autonomous Educational Institution of Higher Education I. M. Sechenov First Moscow State Medical University (Sechenov University)</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ГБУЗ «ГКБ имени С.И. Спасокукоцкого» ДЗМ</institution><country>Россия</country></aff><aff xml:lang="en"><institution>City Clinical Hospital named after S. I. Spasokukotsky</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ФГБОУ ВО «Московский государственный университет имени М. В. Ломоносова», обособленное подразделение Медицинский научно-образовательный центр Московского государственного университета имени М.В. Ломоносова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal State Budget Educational Institution of Higher Education M.V. Lomonosov Moscow State University (Lomonosov MSU)</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>ФГБОУ ВО «Московский государственный медико-стоматологический университет им. А.И. Евдокимова» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal State Budget Educational Institution of Higher Education A.I. Yevdokimov Moscow State University of Medicine and Dentistry (MSUMD)</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2020</year></pub-date><pub-date pub-type="epub"><day>03</day><month>12</month><year>2020</year></pub-date><volume>0</volume><issue>3</issue><fpage>36</fpage><lpage>43</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Галлямов Э.А., Ерин С.А., Агапов М.А., Горбачева И.В., Юркулиев Н.А., Гололобов Г.Ю., Гадлевский Г.С., Косяков Н.А., Чичерина М.А., Бурмистров А.И., Саруханян И.Г., 2020</copyright-statement><copyright-year>2020</copyright-year><copyright-holder xml:lang="ru">Галлямов Э.А., Ерин С.А., Агапов М.А., Горбачева И.В., Юркулиев Н.А., Гололобов Г.Ю., Гадлевский Г.С., Косяков Н.А., Чичерина М.А., Бурмистров А.И., Саруханян И.Г.</copyright-holder><copyright-holder xml:lang="en">Galliamov E.A., Erin S.A., Agapov M.A., Gorbacheva I.V., Yurkyliev N.A., Gololobov G.Y., Gadlevskiy G.S., Kosyakov A.N., Chicherina M.A., Burmistrov A.I., Sarukhanyan I.G.</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://www.spractice.ru/jour/article/view/180">https://www.spractice.ru/jour/article/view/180</self-uri><abstract><p>Ахалазия кардии — нервно-мышечное заболевание пищевода, характеризующееся нарушением расслабления нижнего пищеводного сфинктера (НПС) и проявляющееся выраженной клинической симптоматикой. На данный момент разработаны и активно используются способы диагностики патологии и различные хирургические методики ее коррекции. В этом обзоре авторы суммировали все имеющиеся данные о принципах современной классификации, основанных на выявлении характерных диагностических критериев заболевания. Подробно описаны современные методы лечения, произведена оценка эффективности представленных методов.</p></abstract><trans-abstract xml:lang="en"><p>Еsophageal achalasia is a neuromuscular disease of esophagus characterized by a distortion of the relaxation of the lower esophageal sphincter (LES) and manifested by marked clinical symptoms. To date, methods for diagnosing pathology and various surgical methods for its correction have been developed and actively used. In this review, the authors summarized all available data on principles of modern classification based on the identification of characteristic diagnostic criteria of the disease. The modern treatment methods are described in detail, the effectiveness of the presented methods is evaluated.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>ахалазия кардии</kwd><kwd>классификация ахалазии</kwd><kwd>баллонная пневматическая дилатация</kwd><kwd>пероральная эндоскопическая миотомия</kwd><kwd>миотомия по Геллеру</kwd></kwd-group><kwd-group xml:lang="en"><kwd>esophageal achalasia</kwd><kwd>classification of achalasia</kwd><kwd>balloon (pneumatic) dilation</kwd><kwd>peroral endoscopic myotomy (POEM)</kwd><kwd>Heller's myotomy</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Khashab MA, Vela MF, Thosani N, Agrawal D, Buxbaum JL, Abbas Fehmi SM, Fishman DS, Gurudu SR, Jamil LH, Jue TL, Kannadath BS, Law JK, Lee JK, Naveed M, Qumseya BJ, Sawhney MS, Yang J, Wani S. ASGE guideline on the management of achalasia. 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