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. 1971 Apr;12(4):268–275. doi: 10.1136/gut.12.4.268

Treatment of achalasia with pneumatic dilatations

G Vantrappen, J Hellemans, W Deloof, P Valembois, J Vandenbroucke
PMCID: PMC1411631  PMID: 5574797

Abstract

During the last 13 years 264 unselected patients with achalasia have been treated solely by the technique of pneumatic dilatation. The principle of the method was to continue the series of consecutive dilatations until the result was satisfactory. This paper reports the late results in 138 patients who were treated more than three years ago (3-13 years; mean 6·6 years). The results were evaluated by somebody who had not before been involved in the treatment of achalasia. The evaluation was based on a personal interview, a standardized radiological examination, and intraluminal pressure measurements.

These late results were classified as excellent in 45%, good in 32%, moderate in 17%, and poor in 6%. The best results were obtained in patients with a history of five to twenty years and a moderately dilated oesophagus (50-80 mm.). Comparison of the clinical results with the manometric data obtained before, immediately after, and late after treatment indicates that intraluminal pressure measurements may be a useful guide for the treatment of achalasia by pneumatic dilatations.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Affolter H., Voegeli R. Erfahrungen mit der pneumatischen Kardiadilatation bei der Achalasie. Schweiz Med Wochenschr. 1969 Apr 12;99(15):547–549. [PubMed] [Google Scholar]
  2. BROWSE N. L., CARTER S. J. The late results of Heller's operation in the treatment of achalasia. Br J Surg. 1961 Jul;49:59–63. doi: 10.1002/bjs.18004921313. [DOI] [PubMed] [Google Scholar]
  3. Bennett J. R., Bargaza E., Hendrix T. R., Siegel C. I. Treatment of achalasia by pneumatic dilatation of the cardia. Gut. 1968 Dec;9(6):727–727. [PubMed] [Google Scholar]
  4. CREAMER B., OLSEN A. M., CODE C. F. The esophageal sphincters in achalasia of the cardia (cardiospasm). Gastroenterology. 1957 Aug;33(2):293–301. [PubMed] [Google Scholar]
  5. Ellis F. H., Jr, Kiser J. C., Schlegel J. F., Earlam R. J., McVey J. L., Olsen A. M. Esophagomyotomy for esophageal achalasia: experimental, clinical, and manometric aspects. Ann Surg. 1967 Oct;166(4):640–656. doi: 10.1097/00000658-196710000-00012. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. FERGUSON T. B., BURFORD T. H. An evaluation of the modified heller operation in the treatment of achalasia of the esophagus. Ann Surg. 1960 Jul;152:1–9. doi: 10.1097/00000658-196007000-00001. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. FROBESE A. S., HAWTHORNE H. R., NEMIR P., Jr The surgical management of achalasia of the esophagus. Ann Surg. 1956 Oct;144(4):653–669. doi: 10.1097/00000658-195610000-00009. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. KURLANDER D. J., RASKIN H. F., KIRSNER J. B., PALMER W. L. THERAPEUTIC VALUE OF THE PNEUMATIC DILATOR IN ACHALASIA OF THE ESOPHAGUS. LONG TERM RESULTS IN SIXTY-TWO LIVING PATIENTS. Gastroenterology. 1963 Nov;45:604–613. [PubMed] [Google Scholar]
  9. MALM A. A 10-year report of operated achalasia of the esophagus. Gastroenterologia. 1956;86(3):208–210. doi: 10.1159/000200557. [DOI] [PubMed] [Google Scholar]
  10. Nanson E. M. Treatment of achalasia of the cardia. Gastroenterology. 1966 Aug;51(2):236–241. [PubMed] [Google Scholar]
  11. OLSEN A. M., HARRINGTON S. W., MOERSCH H. J., ANDERSEN H. A. The treatment of cardiospasm: analysis of a 12 year experience. J Thorac Surg. 1951 Aug;22(2):164–187. [PubMed] [Google Scholar]
  12. OLSEN A. M., SCHLEGEL J. F., CREAMER B., ELLIS F. H., Jr Esophageal motility in achalasia (cardiospasm) after treatment. J Thorac Surg. 1957 Nov;34(5):615–623. [PubMed] [Google Scholar]
  13. SCHINDLER R. Observations on cardiospasm and its treatment by brusque dilatation. Ann Intern Med. 1956 Aug;45(2):207–215. doi: 10.7326/0003-4819-45-2-207. [DOI] [PubMed] [Google Scholar]
  14. VANGOIDSENHOVEN G. E., VANTRAPPEN G., VERBEKE S., VANDENBROUCKE J. TREATMENT OF ACHALASIA OF THE CARDIA WITH PNEUMATIC DILATIONS. Gastroenterology. 1963 Sep;45:326–334. [PubMed] [Google Scholar]
  15. VANTRAPPEN G., VANGOIDSENHOVEN G. E., VERBEKE S., VANDENBERGHE G., VANDERBROUCKE J. MANOMETRIC STUDIES IN ACHALASIA OF THE CARDIA, BEFORE AND AFTER PNEUMATIC DILATIONS. Gastroenterology. 1963 Sep;45:317–325. [PubMed] [Google Scholar]

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