In Lviv, doctors operated on a patient with a rare disease: she could not eat for 6 years
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Surgeons at the St. Panteleimon Hospital performed an operation on a patient with a muscle anomaly between the esophagus and the stomach. The woman could not eat for six years and lost weight before her eyes.
According to the First Medical Association of Lviv, 31-year-old Lyubov Prokopenko from Cherkasy spent six years trying to find out what kind of ailment she had. Every meal provoked her to vomit. The last year was the most difficult for the patient – she lost 10 kilograms.
“For years, the woman was looking for specialists who would help her recover. None of the examinations yielded results: the doctors could not make a diagnosis. What’s more, the woman was referred to psychiatrists. It was as if she had come up with something.” – they say in the First Medical Association of Lviv.
They note that three years ago, the doctors did find out that the patient had esophageal achalasia, which is a motility disorder of the esophagus, which is characterized by loss of peristalsis (wave-like contraction of the walls of hollow tubular organs, which helps move their contents from top to bottom – ed.) and failure of the lower of the esophageal sphincter (an annular muscle that serves to narrow or close the passage or opening in the body – ed.) to fully relax in response to swallowing.
| Photo: First Medical Association of Lviv |
However, doctors did not dare to operate on the woman.
“In simple words, the esophageal sphincter closed and did not open. The patient’s esophagus expanded to 6 centimeters, and the narrowing point – the sphincter – was 4 millimeters. This is a critically narrow opening through which food cannot enter the stomach. If the woman had not been operated on and did not restore the ability to eat, in the future she could die,” – doctors explain.
Lyubov Prokopenko underwent minimally invasive surgery at the Surgery Center of St. Panteleimon Hospital. The operation lasted only an hour.
“Technically, the operation is complex and jewel-like. During the intervention, surgeons dissected the muscles that clamped the opening between the esophagus and the stomach, and formed a cuff so that the contents of the esophagus could pass freely to the stomach and not return back.” – doctors note.
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| Photo: First Medical Association of Lviv |
According to them, already on the third day after the intervention, the patient felt well and was discharged: “She not only started eating, she had an appetite.”
Surgeon Andriy Stasyshyn says that there is no single reason for the development of esophageal achalasia. Doctors believe that such anatomical changes can occur both as a result of a malfunction of the nerve cells of the esophagus, as well as due to genetic predisposition, complications of other diseases.
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Iryna Batiuk, UP. Life
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