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Comparison of endoscopic balloon dilation with metal stent placement in the treatment of achalasia
Author(s) -
Zhao Hang,
Wan Xin Jian,
Yang Chang Qing
Publication year - 2015
Publication title -
journal of digestive diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.684
H-Index - 51
eISSN - 1751-2980
pISSN - 1751-2972
DOI - 10.1111/1751-2980.12241
Subject(s) - achalasia , medicine , balloon dilation , dilation (metric space) , surgery , balloon , stent , esophagus , mathematics , combinatorics
Objective To compare the outcomes of endoscopic balloon dilation and metal stent placement in patients with achalasia. Methods The patients with newly diagnosed achalasia between J uly 2001 and D ecember 2011 were retrospectively studied. A total of 88 patients underwent either balloon dilation ( n = 41) or metal stent placement ( n = 47), their global symptom score and esophageal kinetics index were determined before, one week after and one month after the treatment. All the patients were followed up in the Outpatient Clinics or with a telephone interview every 6 months. Results There were significant improvements in the global symptom scores and esophageal kinetics indices in all patients. No major complications were encountered in either group. There were no significant differences with regard to overall treatment failure or long‐term outcome. Conclusion Balloon dilation and removable stents can effectively relieve clinical manifestations in patients with achalasia.