Long-term results of pneumatic dilation for achalasia: A 15 years’ experience

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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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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...

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Pneumatic dilation for achalasia: late results of a prospective follow up investigation.

BACKGROUND and aims: In this prospective study, we determined the long term clinical course of patients with achalasia who were treated by pneumatic dilation using the Browne-McHardy dilator, and determined whether previously described predictors of outcome remain significant after prolonged follow up. METHODS Between 1981 and 1991, 54 consecutive patients were treated by pneumatic dilation a...

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Short and medium-term therapeutic effects of pneumatic dilatation for achalasia: a 15-year tertiary centre experience.

BACKGROUND Pneumatic dilatation (PD) is a commonly used endoscopic technique to weaken the lower oesophageal sphincter in patients with achalasia. It is considered as the most effective non-surgical therapeutic option for achalasia, but further data on the overall effectiveness and rate of complications is needed. AIMS To determine the short- and medium-term therapeutic effectiveness of PD fo...

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ژورنال

عنوان ژورنال: World Journal of Gastroenterology

سال: 2005

ISSN: 1007-9327

DOI: 10.3748/wjg.v11.i36.5587