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Pneumatic dilatation in achalasia cardia results and follow-up.

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Author(s): Supe A | Samsi A | Bapat R | Mathur S | Ramakantan R

Journal: Journal of Postgraduate Medicine
ISSN 0022-3859

Volume: 36;
Issue: 4;
Start page: 181;
Date: 1990;
Original page

Keywords: Adult | Balloon Dilatation | instrumentation | methods | standards | Esophageal Achalasia | diagnosis | therapy | Female | Follow-Up Studies | Human | Male | Middle Age | Recurrence

ABSTRACT
Pneumatic dilatation is one of the more recent methods in the management of achalasia cardia. Fifty dilatations were done in 42 patients with achalasia cardia over 5 years. There was a significant decrease in the maximum diameter of the oesophagus and a significant increase in diameter in the narrowed lower oesophageal segment in all the patients. Of the patients studied, 95.23% were relieved of their symptoms after only one to two sessions. There were no immediate complications. Out of the 38 patients on long term follow up, 8 (21.05%) had recurrence of symptoms. On repeat dilatations, 4 (50%) of them had good response. Late complication like reflux oesophagitis was observed in only 1 patient over a median follow up period of 22 months. It was thus concluded that pneumatic dilatation is a safe, simple and effective procedure in managing patients with achalasia cardia.
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