Pneumatic dilatation in achalasia cardia results and follow-up.
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.
Supe
A N
AN
Department of Surgery, Seth G.S. Medical College, Parel, Bombay, Maharashtra.
Samsi
A B
AB
Bapat
R D
RD
Mathur
S K
SK
Ramakantan
R
R
D000328:Adult; D002404:Catheterization / Q000295:instrumentation / Q000379:methods / Q000592:standards*; D004931:Esophageal Achalasia / Q000175:diagnosis / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence