Cardiomyotomy (Cardiomyotomy)

Cardiomyotomy is a surgical procedure on the muscle of the esophagus performed to treat achalasia, a motility disorder of the esophagus and lower esophageal sphincter.

Achalasia is characterized by weakened or absent esophageal peristalsis and incomplete relaxation of the lower esophageal sphincter during swallowing. This makes it difficult for food to pass through the esophagus into the stomach. The main treatment for achalasia is cardiomyotomy.

During the operation, the surgeon makes a longitudinal incision in the esophagus muscle to weaken the sphincter and restore food passage. Cardiomyotomy can be performed either open or laparoscopically. With laparoscopic cardiomyotomy, the incisions are much smaller, resulting in a faster recovery.

Cardiomyotomy can effectively eliminate the symptoms of achalasia and significantly improve the quality of life of patients. Complications after surgery are rare. Cardiomyotomy is the treatment of choice for achalasia.



Cardiomyotomy is a surgical procedure that is used to treat achalasia, or an abnormal narrowing of the esophagus. Achalasia is a condition in which the esophagus cannot contract normally and push food down. As a result, food can stagnate in the esophagus, causing pain and discomfort.

Various methods are used to treat cardiomyotomy, including surgically cutting the esophagus and dilating it using a special instrument called a cardiodilator. This instrument allows you to expand the esophagus and restore its normal function.

Cardioplegia is another treatment option for achalasia. It involves stopping the heart during surgery using hypothermia (lowering body temperature) or electrical stimulation. This allows you to safely perform heart surgery, for example, replace it with a new one.

Both cardiomyotomy and cardioplegia are used to treat achalasia and restore normal esophageal function and prevent complications associated with this condition. However, each method has its own advantages and disadvantages, and the choice of method should be based on the individual characteristics of the patient and his state of health.



Cardiomyotomy is a method of treating functional achalasia of the esophagus and cardia. Here is a description of this method: “Cardiomyotomy is started when conservative therapy is unsuccessful, manifested by significant obstructions in the patency of the esophagus. The main principle of the cardiomyotomy technique is scarring of the muscle layer of the lower third of the esophagus after dissection of the walls of the esophagus in the area of ​​narrowing.”

In general, cardiomyotomy should be considered a direct intervention on the neuromuscular apparatus of the esophagus; Of particular importance is the dissection of the first ventricle of the esophagus, as well as subsequent scarring using metal grafts, which also does not exclude