The efficacy of pneumatic balloon dilatation treatment on achalasia: Single center experience

Achalasia is one of the most common motility disorders of esophagus characterized by deterioration of the lower esophageal sphincter due to loss of myenteric plexus. The main symptoms are progressive dysphagia towards fluids and solids, regurgitation of food, weight loss, aspiration pneumonitis. Methods such as pneumatic dilatation, pharmacological agents, laparoscopic heller myotomy, and peroral endoscopic myotomy are used in the treatment. We want to present our results of pneumatic dilatation in this study. 31 newly diagnosed patients who underwent pneumatic dilatation at Inonu University Turgut Ozal Medical Center between 2008 and 2016 , were included in the study. Pneumatic dilatation was applied once on 17 (55%) patients, twice on 6 (19%) patients, and thrice and over on 8 (26%) patients. In 27 (87%) patients, success was achieved with pneumatic dilatation and in 4 patients (13%) with laparoscopic Heller myotomy. Pneumatic dilatation being a less invasive method among available treatment methods, still maintains its efficacy when considering low complications and ease of administration.

___

Richter JE, Boeckxstaens GE. Management of achalasia: surgery or pneumatic dilation. Gut 2011;60:869–76.

Stavropoulos SN, Modayil R, Friedel D. Achalasia. Gastrointest Endosc Clin. 2013;23:53–75.

Uppal DS, Wang AY. Update on the endoscopic treatments for achalasia. World J Gastroenterol. 2016;22:8670-83.

Tack J, Zaninotto G. Therapeutic options in oesophageal dysphagia. Nat Rev Gastroenterol Hepatol. 2015;12:332–41.

Dobrucali A, Erzin Y,Tuncer M, Dirican A. Long-term results of graded pneumatic dilatation under endoscopic guidance in patients with primary esophageal achalasia. World J. Gastroenterol. 2004;10:3322–7.

Sabharwal T, Adam A. Balloon Dilatation of Esophageal Strictures/Achalasia. Semin Intervent Radiol. 2004;21:149–55.

Boeckstaens GE, Annese V, Bruley des Varannes S, et al. Pneumatic dilation versus laparoscopc Heller’s myotomy for idopathic achalasia. N Engl J Med. 2011; 364: 1807–16.

The American Society for Gastrointestinal Endoscopy PIVI committee, Chandrasekhara V, Desilets D, et al. The American Society for Gastrointestinal Endoscopy PIVI (Preservation and Incorporation of Valuable Endoscopic Innovations) on peroral endoscopic myotomy. Gastrointest Endosc. 2015;81:1087–100.

Vela MF, Richter JE, Khandwala F, et al. The long-termefficacy of pneumatic dilatation and Heller myotomy for the treatment of achalasia. Clin Gastroenterol Hepatol. 2006; 4: 580 –7.

Richter, J. E. Update on themanagement of achalasia: balloons, surgery and drugs. Expert Rev Gastroenterol Hepatol. 2008;2:435–45.

Andreevski V, Nojkov B, Krstevski M, et al. Shortand medium-term therapeutic effects of pneumatic dilation fo rachalasia: a 15-year tertiary centre experience. Pril (Makedon Akad NaukUmet Odd Med Nauki). 2013;34:15–22.

Kadakia, SC, Wong, RKH. Graded pneumatic dilationusing Rigiflex achalasia dilators in patient swith primary esophageal achalasia. Am J Gastroenterol. 1993;88: 34–8.

Cheng P, Shi H, Zhang Y, et al. Clinical effect of endoscopic pneumatic dilation for achalasia. Medicine 2015;94:1193.

Moonen A, Boeckxstaens G. Current diagnosis and management of achalasia. J Clin Gastroenterol. 2014;48: 484-90.
Medicine Science-Cover
  • ISSN: 2147-0634
  • Yayın Aralığı: 4
  • Başlangıç: 2012
  • Yayıncı: Effect Publishing Agency ( EPA )
Sayıdaki Diğer Makaleler

Prevalence of MMP-3 E45K polymorphism in Turkish patients with endometrial carcinoma

Sibel BULGURCUOĞLU KURAN, Emine Hande KARAGEDİK, Cem İYİBOZKURT, Elif Sinem İPLİK, BEDİA ÇAKMAKOĞLU, Arzu ERGEN

A finite element analysis of the effects of different skeletal protraction and expansion methods used in class III malocclusion treatment

Serhat ÖZDEMİR, MERVE GÖYMEN

Relationship between autophagy and complete blood count in patient with acute myocardial infarction

ÖZGÜR KAPLAN, Günnur DEMİRCAN

The importance of ICD-10 applications on daily practice

Leyla SERİNOĞLU, Onur YARAR, Can Mehmet ETİ, Tuğçe PÜTÜRGELİ, Yusuf VAYISOĞLU, Mehmet FARSAK, Ece Sevin ÇUKUROVA, Cemnur TANCİL, EMİNE ARZU KANIK, DERYA ÜMİT TALAS

An analysis of the relationship between insomnia-fatigue levels of the mothers and their depression and maternal attachment status

Songül AKTAŞ, Dilek Küçük ALEMDAR

Bone marrow metastasis of alveolar rhabdomyosarcoma mimicking Burkitt’s lymphoma

SİNAN DEMİRCİOĞLU, ÖMER EKİNCİ, ALİ DOĞAN, İRFAN BAYRAM, CENGİZ DEMİR

Evaluation of drug use habits and rational drug use of persons registered to primary health care

Serdar DENİZ, AYŞE FERDANE OĞUZÖNCÜL, Recep BENTLİ

Anesthesia management in cesarean section with lown ganong levine syndrome

Duygu DEMİRÖZ ASLAN, Füsun ADAM, Neslihan ALTUNKAYA

Efficiency of high intensity laser therapy in patients with knee osteoarthritis

Ezgi Deniz ÇIPLAK, SEMRA AKTÜRK, RAİKAN BÜYÜKAVCI, YÜKSEL ERSOY

The prognostic factors for pregnancy after gonadotropin-induced controlled ovarian stimulation therapy with intrauterine insemination cycles

Görkem TUNCAY