Yield of prolonged wireless pH monitoring in achalasia patients successfully treated with pneumatic dilation

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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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A Review of Factors Predicting Outcome of Pneumatic Dilation in Patients With Achalasia Cardia

Pneumatic dilation (PD) is an effective treatment for achalasia cardia. Outcome of PD, however, varies among different studies. Recently, some groups started considering laparoscopic myotomy to be competitive to PD in treatment of achalasia considering dreaded complication like perforation following the latter therapeutic approach. Therefore, there is need to predict outcome of PD for achalasia...

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Peroral endoscopic myotomy versus pneumatic dilation for achalasia in patients aged ≥ 65 years.

BACKGROUND AND AIM Both peroral endoscopic myotomy (POEM) and pneumatic dilation (PD) has proved to be effective for treating achalasia in patients aged ≥ 65 years. However little is known about the comparison between POEM and PD. The aim of the study was to compare the safety and efficacy of POEM and PD for the treatment of achalasia in these patients. METHODS We retrospectively reviewed the...

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ژورنال

عنوان ژورنال: United European Gastroenterology Journal

سال: 2017

ISSN: 2050-6406,2050-6414

DOI: 10.1177/2050640616681366