Long-term outcome of a modified balloon dilatation in the treatment of patients with achalasia
Background/Aim. Balloon dilatation is a standard approach to the initial achalasia treatment. Modified dilatation is also applied to rise efficacy and to lower complications. Methods. A total of 57 patients were analysed within a median follow-up of 8.2 years. No premedication was used, dilatatio...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2013-01-01
|
| Series: | Vojnosanitetski Pregled |
| Subjects: | |
| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2013/0042-84501300015D.pdf |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850241649877188608 |
|---|---|
| author | Doder Radoje Perišić Nenad Tomašević Ratko Mirković Darko Janković Zoran Đorđević Zoran |
| author_facet | Doder Radoje Perišić Nenad Tomašević Ratko Mirković Darko Janković Zoran Đorđević Zoran |
| author_sort | Doder Radoje |
| collection | DOAJ |
| description | Background/Aim. Balloon dilatation is a standard approach to the initial achalasia treatment. Modified dilatation is also applied to rise efficacy and to lower complications. Methods. A total of 57 patients were analysed within a median follow-up of 8.2 years. No premedication was used, dilatation was performed up to the pain treshold, while introduction and positioning of a dilatator was done in combination of endoscopic and radiological control. Dilatation effect was estimated by both Kim Symptom Scoring and objective parameters: body weight rise and radiological scintigraphic findings. Results. Excellent and good results were obtained in 50 (88%) of the patients, while in 7 (12%) of the patients surgery was performed. There was no difference in dilatation efficacy regarding sex of the patients, but the results were better in the patients above 40 years. Duration of symptoms, body weight loss, esophageal lumen width do not indicate the definitive dilatation outcome. Esophageal scintigraphy and body weight increase were in a direct correlation with the effect of dilatation measured with the Kim Symptom Scoring. After the one to two repeated dilatations the efficacy increased 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 the other complications were not clinically significant. Conclusion. Modified balloon dilatation can be recommended for initial method in achalasia treatment due to high efficacy, easy performance in daily hospital while complications are in standard range. |
| format | Article |
| id | doaj-art-bf055f36b0b64d7b858b5b58df1a537e |
| institution | OA Journals |
| issn | 0042-8450 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-bf055f36b0b64d7b858b5b58df1a537e2025-08-20T02:00:33ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502013-01-01701091592210.2298/VSP110505015DLong-term outcome of a modified balloon dilatation in the treatment of patients with achalasiaDoder RadojePerišić NenadTomašević RatkoMirković DarkoJanković ZoranĐorđević ZoranBackground/Aim. Balloon dilatation is a standard approach to the initial achalasia treatment. Modified dilatation is also applied to rise efficacy and to lower complications. Methods. A total of 57 patients were analysed within a median follow-up of 8.2 years. No premedication was used, dilatation was performed up to the pain treshold, while introduction and positioning of a dilatator was done in combination of endoscopic and radiological control. Dilatation effect was estimated by both Kim Symptom Scoring and objective parameters: body weight rise and radiological scintigraphic findings. Results. Excellent and good results were obtained in 50 (88%) of the patients, while in 7 (12%) of the patients surgery was performed. There was no difference in dilatation efficacy regarding sex of the patients, but the results were better in the patients above 40 years. Duration of symptoms, body weight loss, esophageal lumen width do not indicate the definitive dilatation outcome. Esophageal scintigraphy and body weight increase were in a direct correlation with the effect of dilatation measured with the Kim Symptom Scoring. After the one to two repeated dilatations the efficacy increased 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 the other complications were not clinically significant. Conclusion. Modified balloon dilatation can be recommended for initial method in achalasia treatment due to high efficacy, easy performance in daily hospital while complications are in standard range.http://www.doiserbia.nb.rs/img/doi/0042-8450/2013/0042-84501300015D.pdfesophageal achalasiaradionuclide imagingballoon dilatationprognosis |
| spellingShingle | Doder Radoje Perišić Nenad Tomašević Ratko Mirković Darko Janković Zoran Đorđević Zoran Long-term outcome of a modified balloon dilatation in the treatment of patients with achalasia Vojnosanitetski Pregled esophageal achalasia radionuclide imaging balloon dilatation prognosis |
| title | Long-term outcome of a modified balloon dilatation in the treatment of patients with achalasia |
| title_full | Long-term outcome of a modified balloon dilatation in the treatment of patients with achalasia |
| title_fullStr | Long-term outcome of a modified balloon dilatation in the treatment of patients with achalasia |
| title_full_unstemmed | Long-term outcome of a modified balloon dilatation in the treatment of patients with achalasia |
| title_short | Long-term outcome of a modified balloon dilatation in the treatment of patients with achalasia |
| title_sort | long term outcome of a modified balloon dilatation in the treatment of patients with achalasia |
| topic | esophageal achalasia radionuclide imaging balloon dilatation prognosis |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2013/0042-84501300015D.pdf |
| work_keys_str_mv | AT doderradoje longtermoutcomeofamodifiedballoondilatationinthetreatmentofpatientswithachalasia AT perisicnenad longtermoutcomeofamodifiedballoondilatationinthetreatmentofpatientswithachalasia AT tomasevicratko longtermoutcomeofamodifiedballoondilatationinthetreatmentofpatientswithachalasia AT mirkovicdarko longtermoutcomeofamodifiedballoondilatationinthetreatmentofpatientswithachalasia AT jankoviczoran longtermoutcomeofamodifiedballoondilatationinthetreatmentofpatientswithachalasia AT đorđeviczoran longtermoutcomeofamodifiedballoondilatationinthetreatmentofpatientswithachalasia |