Twenty four hour oesophageal acidity in achalasia before and after pneumatic dilatation.

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Twenty four hour oesophageal acidity in achalasia before and after pneumatic dilatation.

Radiotelemetric ambulatory 24 hour oesophageal pH measurement was carried out in 17 patients with symptomatic manometrically proven achalasia before and after pneumatic dilatation. Before dilatation an abnormally high percentage acid exposure time was present but typical episodes of gastro-oesophageal reflux occurred in only one patient. In nine patients who had a oesophageal food residue these...

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Twenty-four hour gastric acidity after vagotomy.

Twenty-four hour intragastric pH during normal daily activity has been studied by nasogastric intubation and aspiration of gastric samples in seven patients four years after vagotomy (four truncal, three selective). Two of these patients also had pre- and early postoperative studies. Mean pH was inversely correlated with basal, insulin- and pentagastrin-stimulated acid outputs. However, one of ...

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Pneumatic dilatation in achalasia.

To assess the value of pneumatic dilatation of the cardia, 63 patients with achalasia have undergone a total of 107 Rider-Moeller dilatations over the last six years. There was a marked improvement in swallowing immediately after dilatation in all but two patients, there were no deaths attributable to the procedure and serious complications were rare (1.6% of patients). The first 50 cases have ...

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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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Over-the-Scope Clip Closure of Oesophageal Perforation after Pneumatic Dilatation for Achalasia

Achalasia is an esophageal disease due to inability of relaxation of the lower esophageal sphincter (LES), frequently associated with loss of peristalsis in the distal esophagus results from the degeneration of ganglion cells in the myenteric plexus in the esophageal wall [1,2]. Pneumatic dilatation (PD) of the esophagus is the first line method of therapy of achalasia. Pneumatic balloon dilata...

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ژورنال

عنوان ژورنال: Gut

سال: 1987

ISSN: 0017-5749

DOI: 10.1136/gut.28.7.883