Gastric Perforation During Pneumatic Dilation for Achalasia

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Risk factors of oesophageal perforation during pneumatic dilatation for achalasia.

BACKGROUND/AIMS Pneumatic dilatation of the oesophagus is a well established treatment for achalasia. Oesophageal perforation is the most serious complication that occurs in 2% to 6% of cases. The aim of this retrospective survey was to identify predictive risk factors for perforation in a consecutive series of 218 patients with achalasia. METHODS Between 1983 and 1993, 270 pneumatic dilatati...

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Management of achalasia: surgery or pneumatic dilation.

Achalasia is an esophageal motility disorder of unknown cause, characterised by aperistalsis of the esophageal body and impaired lower esophageal sphincter relaxation. Patients present at all ages, primarily with dysphagia for solids/liquids and bland regurgitation. The diagnosis is suggested by barium esophagram or endoscopy and confirmed by esophageal manometry. Achalasia cannot be cured. Ins...

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comparison of pneumatic dilation with pneumatic dilation plus botulinum toxin for treatment of achalasia

among the therapeutic options for achalasia are pneumatic dilatation (pd), an appropriate long-term therapy, and botulinum toxin injection (bt) that is a relatively short-term therapy. this study aimed to compare therapeutic effect of repetitive pneumatic dilation with a combined method (botulinum toxin injection and pneumatic dilation) in a group of achalasia patients who are low responder to ...

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ژورنال

عنوان ژورنال: Gastroenterology

سال: 1977

ISSN: 0016-5085

DOI: 10.1016/s0016-5085(77)80231-x