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Comparison of Pneumatic Dilation with Pneumatic Dilation Plus Botulinum Toxin for Treatment of Achalasia

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Author(s): Alireza Bakhshipour | Romina Rabbani | Shapoor Shirani | Hosein ASL Soleimani | Javad Mikaeli

Journal: Acta Medica Iranica
ISSN 0044-6025

Volume: 48;
Issue: 2;
Start page: 107;
Date: 2010;
Original page

Keywords: Balloon dilation | botulinum toxins | esophageal achalasia

ABSTRACT
Among the therapeutic options for achalasia are pneumatic dilatation (PD), an appropriate long-term therapy, and botulinum toxin injection (BT) that is a relatively short-term therapy. This study aimed to compare therapeutic effect of repetitive pneumatic dilation with a combined method (botulinum toxin injection and pneumatic dilation) in a group of achalasia patients who are low responder to two initial pneumatic dilations. Thirty- four patients with documented primary achalasia that had low response to two times PD (
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