Pneumatic dilatation in achalasia of the esophagus: a report from Argentina

Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus
G B SalisJ C Chiocca

Abstract

We review the treatment of esophageal achalasia by means of pneumatic dilatation (PD), analyzing its results and comparing them with those of the literature. We conclude that our personal experience is similar to that of the literature: PD and surgery produce similar results (67-95%), morbidity (2-9.5%), and mortality (0.7-1%); and PD is cheaper than surgery. According to these conclusions, we believe that the decision of the appropriate treatment should be based on a combination of the choice of the properly informed patient and the operator's experience. However, we also conclude that surgery is mandatory in selected cases, such as achalasia associated with hiatus hernia, esophageal diverticula and neoplasia, history of previous PD failure (since in our experience the results after a second PD are very poor), postoperative relapse, and patients with grade IV mega-esophagus according to Resano-Malenchini's classification.

References

Dec 1, 1992·Gastroenterology·V F EckardtG Bernhard
Aug 1, 1986·Gut·J CoxJ R Bennett
Jul 1, 1993·Digestive Diseases and Sciences·S StupnikA García
May 1, 1997·Digestive Diseases and Sciences·C A BurkeG W Falk
Jul 22, 1998·The American Journal of Gastroenterology·A A KhanD O Castell
Dec 3, 1998·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·M G PattiL W Way
Apr 7, 1999·Journal of Clinical Gastroenterology·R O DantasE A Donadi
May 11, 1999·The American Journal of Gastroenterology·E H MetmanJ P Barbieux
Dec 22, 1999·The American Journal of Gastroenterology·M F Vaezi, J E Richter
Mar 15, 2000·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·D R ClohisyR C Thompson
Oct 29, 2000·The American Journal of Gastroenterology·T F ImperialeJ E Richter
Nov 4, 2000·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·D R HuntI J Coo
Jun 20, 2001·Gut·S J Spechler, D O Castell
Nov 7, 2003·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·T FujiiM Morimatsu

❮ Previous
Next ❯

Citations

Dec 25, 2008·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Sanjay Agrawal, Paul Super
Oct 4, 2005·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·N A KimchiY Avni
Nov 22, 2008·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·J A TusetE Medina
Feb 8, 2006·Annals of the Royal College of Surgeons of England·P J Lamb, S M Griffin

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiomyopathy

Cardiomyopathy is a disease of the heart muscle, that can lead to muscular or electrical dysfunction of the heart. It is often an irreversible disease that is associated with a poor prognosis. There are different causes and classifications of cardiomyopathies. Here are the latest discoveries pertaining to this disease.

Related Papers

Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus
A A KhanF Shafqat
Anales del sistema sanitario de Navarra
F M Martínez RegueiraJ L Hernández-Lizoain
British Journal of Anaesthesia
C S Hopkins, S Leith
Acta gastroenterologica Latinoamericana
A R ZelterP A Mazure
© 2022 Meta ULC. All rights reserved