Long-term outcome of a modified balloon dilatation in the treatment of patients with achalasia

Vojnosanitetski Pregled

关键词: esophageal achalasia;    radionuclide imaging;    balloon dilatation;    prognosis;   

DOI  :  10.2298/VSP110505015D

来源: DOAJ

【 摘 要 】

Background/Aim. Balloon dilatation is a standard approach to the initialachalasia treatment. Modified dilatation is also applied to rise efficacy andto lower complications. Methods. A total of 57 patients were analysed withina median follow-up of 8.2 years. No premedication was used, dilatation wasperformed up to the pain treshold, while introduction and positioning of adilatator was done in combination of endoscopic and radiological control.Dilatation effect was estimated by both Kim Symptom Scoring and objectiveparameters: body weight rise and radiological scintigraphic findings.Results. Excellent and good results were obtained in 50 (88%) of thepatients, while in 7 (12%) of the patients surgery was performed. There wasno difference in dilatation efficacy regarding sex of the patients, but theresults were better in the patients above 40 years. Duration of symptoms,body weight loss, esophageal lumen width do not indicate the definitivedilatation outcome. Esophageal scintigraphy and body weight increase were ina direct correlation with the effect of dilatation measured with the KimSymptom Scoring. After the one to two repeated dilatations the efficacyincreased from 74% to 88% justifying the repetition of dilatation. In 2(3.57%) of the patients, that is in 2.65% of the totally dilated patients,perforation was recorded. There was no lethal outcome of dilatation, and theother complications were not clinically significant. Conclusion. Modifiedballoon dilatation can be recommended for initial method in achalasiatreatment due to high efficacy, easy performance in daily hospital whilecomplications are in standard range.

【 授权许可】

Unknown