Combined Endoscopic and Radiographic Evaluation of the Esophagus Immediately After Pneumatic Dilatation for Achalasia
نویسندگان
چکیده
Robert Bechara1*, Paul Kortan2, Gabor Kandel2, Gary May2, Ingrid Schwartz2, Norman Marcon2 1Gastrointestinal Diseases Research Unit, Queen University Kingston General Hospital, 76 Stuart St. Kingston, Ontario, Canada, K7L 2V7 2Division of Gastroenterology, St Michael’s Hospital, University of Toronto, 30 Bond St Toronto, ON M5B 1W8 Journal of Gastroenterology, Pancreatology & Liver Disorders Open Access Research article
منابع مشابه
Road Map fluoroscopy successfully guides endoscopic interventions in the esophagus
BACKGROUND AND STUDY AIMS Road Map (RM) fluoroscopy is a radiological technique that enables visualization of anatomic structures using image subtraction at peak opacification. RM fluoroscopy has never previously been evaluated for use in endoscopy. The aim of this study was to evaluate the usefulness of RM in guiding endoscopic intervention in the esophagus. PATIENTS AND METHODS This was a...
متن کاملFocal achalasia – case report and review of the literature
Esophageal achalasia is a primary smooth muscle motility disorder specified by aperistalsis of the tubular esophagus in combination with a poorly relaxing and occasionally hypertensive lower esophageal sphincter (LES). These changes occur secondary to the destruction of the neural network coordinating esophageal peristalsis and LES relaxation (plexus myentericus). There are limited data on segm...
متن کاملAchalasia: what is the best treatment?
BACKGROUND Achalasia is an infrequent primary motility disorder of the esophagus. Because of uncertain etiology, treatment is only palliative and is directed at decreasing lower esophageal sphincter pressure, improving esophageal emptying and relieving the symptoms of achalasia. Current treatment options include pharmacological, endoscopic and surgical. We undertook a systematic literature revi...
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 کاملOver-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...
متن کامل