Efficiency Judge Not Only On Subjective Sensations Of

Efficiency judge not only on subjective sensations of the patient, but also according to radiological and - researches During time and in a near time after it development of complications (rupture of a gullet with development , a sharp pishchevodno-gastric bleeding), - urgent measures demanding - acceptance is possible-. To early complications carry also insufficiency with development heavy a reflux-ezofagita In the nearest terms after excellent and good results mark almost at 95 % of patients, however in some years at 30 - 70 % of patients come the relapse demanding a refresher course of treatment. Operative treatment is symptomatic and is directed on elimination of impassability of pishchevodno-gastric transition. Indications to it are 1) impossibility to spend , 2) absence of therapeutic effect after repeated courses , 3) early the diagnosed ruptures of a gullet arising during expansion -, 4) expressed , developed after a restretching and not giving in to conservative therapy and , 5) sharp expansion, a S-shaped curvature - of a gullet in a combination to cicatricial changes in .