Improved esophageal emptying in achalasia after pneumatic dilation assessed by changes in symptoms, les pressure (LESP) and a pH reflux test
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چکیده
منابع مشابه
Pneumatic dilation for achalasia in a patient with esophageal varices
BACKGROUND AND STUDY AIMS Previous reports of simultaneous presence of esophageal varices (EV) and achalasia suggest placement of a transjugular intrahepatic portosystemic shunt (TIPS) and surgical myotomy or endoscopic therapy. We report the case of a 64-year-old man who received anticoagulant therapy for a myeloproliferative disorder with extensive portal thrombosis which was a contraindicati...
متن کاملمطالعه بالینی و مانومتریک بیماران آشالازی اولیه در ایران
Seventy-one patients with achalasia were studied. They were 2-29 years old. Dysphagia to solid food was the main presenting symptom (100 percent). Reliable and persistent manometric findings were absence of normal contraction waves in association with the presence of low amplitudes simultaneous waves in all cases. In vigorous achalasia, weight loss (P=0.001), dysphagia (P=0.012) and LES pressur...
متن کاملManagement 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...
متن کاملComplete endoscopic closure (clipping) of a large esophageal perforation after pneumatic dilation in a patient with achalasia.
The risk of esophageal perforation following endoscopic balloon dilation for achalasia is in the range of 1%-5%, with a mortality rate of 1%-20%. Perforations need to be recognized early, and, if reasonable, an immediate endoscopic repair should be pursued quickly. Herein, we report a case of successful endoscopic closure by clipping of a large iatrogenic perforation in a patient with achalasia...
متن کاملAssociation Between Gastroesophageal Reflux Disease After Pneumatic Balloon Dilatation and Clinical Course in Patients With Achalasia
BACKGROUND/AIMS The occurrence of gastroesophageal reflux disease (GERD) is known to be associated with lower post-treatment lower esoph-ageal sphincter pressure in patients with achalasia. This study aimed to elucidate whether GERD after pneumatic balloon dilata-tion (PD) has a prognostic role and to investigate how the clinical course of GERD is. METHODS A total of 79 consecutive patients w...
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ژورنال
عنوان ژورنال: Gastroenterology
سال: 1978
ISSN: 0016-5085
DOI: 10.1016/0016-5085(78)93160-8