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Treatment of Achalasia: Pneumatic Dilation
Author(s) -
G. Vantrappen,
J. Janssens,
Paul Rutgeerts
Publication year - 1990
Publication title -
canadian journal of gastroenterology
Language(s) - English
Resource type - Journals
eISSN - 1916-7237
pISSN - 0835-7900
DOI - 10.1155/1990/658025
Subject(s) - achalasia , dilation (metric space) , medicine , surgery , complication , perforation , esophagus , mathematics , engineering , combinatorics , punching , mechanical engineering
Forceful dilation of the cardia is the treatment of choice forachalasia. This therapy can be carried out using a homemade system or usingcommercially available dilators. Pneumatic dilation yields 77% good or excellentresults in patients with achalasia, while 8.7% have moderate improvement and14.4% are not improved. The main complication is perforation, occurring in2.5%. Perforation can be treated medically with success. In the authors' series ofnow almost 1000 patients, only one died. Pneumatic dilation is a safe andeffective procedure for the treatment of achalasia

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