Achalasia Cardia Subtyping by High-Resolution Manometry Predicts the Therapeutic Outcome of Pneumatic Balloon Dilatation

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Achalasia Cardia Subtyping by High-Resolution Manometry Predicts the Therapeutic Outcome of Pneumatic Balloon Dilatation

BACKGROUND/AIMS High-resolution manometry (HRM) with pressure topography is used to subtype achalasia cardia, which has therapeutic implications. The aim of this study was to compare the clinical characteristics, manometric variables and treatment outcomes among the achalasia subtypes based on the HRM findings. METHODS The patients who underwent HRM at the Asian Institute of Gastroenterology,...

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Can Achalasia Subtyping by High-Resolution Manometry Predict the Therapeutic Outcome of Pneumatic Balloon Dilatation?

TO THE EDITOR: I read with great interest the paper entitled “Achalasia cardia subtyping by high-resolution manometry predicts the therapeutic outcome of pneumatic balloon dilatation” by Pratap et al, which was published in January 2011 issue of Journal of Neurogastroenterology and Motility. Achalasia is the best known primary esophageal motility disorder characterized by absent peristalsis of ...

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Can Achalasia Subtyping by High-Resolution Manometry Predict the Therapeutic Outcome of Pneumatic Balloon Dilatation?: Author's Reply

TO THE EDITOR: We would like to appreciate the interest shown in our article by Dr. Joo. Our response to his queries is as follows: (1) The risk factors for prediction of recurrence after endoscopic pneumatic dilatation are young age, male sex, shorter duration of symptoms, low pre-treatment lower esophageal sphincter (LES) pressure and post therapy LES pressure above 10 mmHg. In the present st...

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Endoscopic pneumatic balloon dilatation for achalasia of the cardia.

This study evaluated the efficacy and safety of endoscopic pneumatic balloon dilatation as the initial treatment for achalasia of the cardia. 15 patients with achalasia underwent a total of 19 dilatations using the new polyethylene dilator (Microvasive Rigiflex Balloon Dilator) over the last 6 years. An overall treatment success rate of 93% was achieved. 11 patients (73.3%) have not required a ...

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Management of achalasia of the cardia by forced pneumatic dilatation.

Eighteen patients with achalasia of the cardia diagnosed by radiography, endoscopy, and manometry were subjected to forced pneumatic dilatation under fluoroscopic control. The procedure was uneventful in all but one patient who developed a pneumomediastinum which resolved on conservative management. A satisfactory result was obtained in 16 patients (89%), 10 patients remaining asymptomatic and ...

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ژورنال

عنوان ژورنال: Journal of Neurogastroenterology and Motility

سال: 2011

ISSN: 2093-0879,2093-0887

DOI: 10.5056/jnm.2011.17.1.48