Efficacy of pneumatic dilatation for the treatment of idiopatic achalasia: a single-center experience

نویسندگان

  • Emanuele Sinagra
  • Dario Raimondo
  • Luigi Maria Montalbano
  • Cristina Linea
  • Marco Giunta
  • Georgios Amvrosiadis
  • Gaetano Cristian Morreale
  • Marco Ciofalo
  • Aroldo Gabriele Rizzo
  • Giovanni Tomasello
چکیده

Gastroenterology and Endoscopy Unit, Fondazione Istituto San Raffaele-G.Giglio, Contrada Pietra Pollastra Pisciotto, 90015 Cefalù, Italy PhD course in Surgical Biotechnology and Regenerative Medicine, University of Palermo, Italy Euro-Mediterranean Institute of Science and Technology (IEMEST), Palermo, Italy Ospedali Riuniti Villa Sofia – Vincenzo Cervello, Gastroenterology Unit, via Trabucco 180, 90100, Palermo, Italy DIBIMIS, Ospedali Riuniti Villa Sofia – Vincenzo Cervello, Division of Internal Medicine, via trabucco 180, 90100, Palermo, Italy AOUP Paolo Giaccone, University of Palermo, School of Medicine, Palermo, Italy Ospedali Riuniti Villa Sofia – Vincenzo Cervello, Pathology Unit, via Trabucco 180, 90100, Palermo, Italy Department of Surgical and Oncological Disciplines, School of Medicine, University of Palermo, Italy

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GRADED P NEUMATIC DILATATION WI THOUT FLUOROSCOPY IN THE T REATMENT OF ESOPHAGEAL ACHALASIA

Between 1993-1996 seventy-three consecutive patients (33 M, 40 F, mean age 35.4) with newly diagnosed achalasia underwent one or more pneumatic dilatations with the Rigiflex balloon using a protocol of graded dilatation with a fixed inflation pressure of 10 psi and constant duration of 30 seconds for all patients without using fluoroscopy. Using Vantrappen's classification for assessment of...

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Intrasphincteric botulinum toxin versus pneumatic dilatation for achalasia: a cost minimization analysis.

BACKGROUND Pneumatic dilatation or intrasphincteric botulinum toxin injection provide effective symptom relief for patients with achalasia. Although intrasphincteric botulinum toxin injection is simple and safe, its efficacy may be short-lived. Pneumatic dilatation lasts longer, but esophageal perforation is a risk. We compared treatment costs for pneumatic dilatation and intrasphincteric botul...

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Pneumatic Balloon Dilatation for Achalasia Cardia; Early & late results, a single center study

Objective Achalasia Cardia is treated by Pneumatic balloon dilatation, Heller's Myotomy and recently, by Peroral Esophagaeal Myotomy. This study reports the efficacy of pneumatic balloon dilatation as a non-surgical motility in achieving relief of dysphagia, clinical improvement and recurrence. Long-term complications were reported. Methods Eight hundred ninety two adult achalasia patients of...

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Botulinum toxin versus pneumatic dilatation in the treatment of achalasia: a randomised trial.

BACKGROUND Intrasphincteric injection of botulinum toxin is a new treatment option for achalasia. AIMS To compare the immediate and long term efficacy of botulinum toxin with that of pneumatic dilatation. METHODS Symptomatic patients with achalasia were randomised to botulinum toxin (22 patients, median age 57 years) or pneumatic dilatation (20 patients, median age 56 years). Symptom scores...

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Efficacy and strategy of pneumatic dilatation in achalasia

We read with interest the article by Eckardt et al regarding the long term results of pneumatic dilatation in achalasia (Gut 2004;53:629–33). Fifty four patients were followed up for a median of 14 years after a single pneumatic dilatation using the Browne-McHardy dilator. Five and 10 year remission rates were 40% and 36%, respectively, and repeated dilatations only mildly improved the clinical...

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تاریخ انتشار 2015