Document Detail


Early and long-term results of pneumatic dilation in the treatment of oesophageal achalasia.
MedLine Citation:
PMID:  1871677     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Between 1967 and 1989, 60 patients underwent pneumatic dilation of the cardia at our institution. Of these, 33 had not undergone any previous treatment (group 1), whereas 27 presented with recurrent dysphagia after a failure of surgical treatment (group 2). In this series there was no procedure-related mortality and a perforation occurred only in 1 patient who was treated conservatively. The mean follow-up was similar in both groups (44 and 49 months, respectively). The results of pneumatic dilation were either excellent or good in 61% of group 1 patients, and in 76% of group 2 patients. Reflux oesophagitis requiring medical therapy occurred in 1 group 2 patient. We conclude that pneumatic dilation is a safe and relatively effective procedure in patients with achalasia. Patients with a failed Heller myotomy seem to respond better than patients without previous surgery. However, the risk of gastro-oesophageal reflux after pneumatic dilation should not be underestimated.
Authors:
A Cusumano; L Bonavina; L Norberto; M Baessato; P Borelli; R Bardini; A Peracchia
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Surgical endoscopy     Volume:  5     ISSN:  0930-2794     ISO Abbreviation:  Surg Endosc     Publication Date:  1991  
Date Detail:
Created Date:  1991-09-19     Completed Date:  1991-09-19     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8806653     Medline TA:  Surg Endosc     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  9-10     Citation Subset:  IM    
Affiliation:
First Department of Surgery, University of Padua Medical School, Italy.
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MeSH Terms
Descriptor/Qualifier:
Balloon Dilatation / methods*
Deglutition Disorders / etiology,  therapy
Esophageal Achalasia / complications,  therapy*
Follow-Up Studies
Humans
Middle Aged
Recurrence
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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