Cardiaspasm and Cardia Cancer

Sulkhan Kemoklidze

Department of surgery, Tbilisi State Medical University;
#2 Teaching Hospital; 2, Constitution St., Tbilisi, 0164 Georgia;
phone: +99599-58-22-41, fax: +44-870-135-9740, e-mail: sulkhan41@mail.ru

The review of special literature and author's own material is presented. Cases of misdiagnosis of cardia cancer and cardiaspasm are analyzed. The original table of differential diagnosis of these diseases is offered. For the cancer of cardia the original method of esophagogastric and esophagoenteric anastomosis is described. To eliminate the traction on anastomosis the author offers to attach the intestine or gastric stump (after gastrectomy) on the cruces of diaphragm. The author believes that it is the mistake to suture these organs around to the edges of the diafragmotomic incision. The author has used described technique in 27 cases with no suture leakage.

Keywords:  cardiaspasm, cardia cancer