Endoscope-guided Pneumatic Dilation for Treatment of Esophageal Achalasia

Overview

Journal World J Gastroenterol

Publisher Baishideng Publishing Group

Specialty Gastroenterology

Date 2010 Jan 27

PMID 20101764

Citations 13

Authors

Seng-Kee Chuah

Keng-Liang Wu

Tsung-Hui Hu

Wei-Chen Tai

Chi-Sin Changchien

Affiliations

Soon will be listed here.

Abstract

Pneumatic dilation (PD) is considered to be the first line nonsurgical therapy for achalasia. The principle of the procedure is to weaken the lower esophageal sphincter by tearing its muscle fibers by generating radial force. The endoscope-guided procedure is done without fluoroscopic control. Clinicians usually use a low-compliance balloon such as Rigiflex dilator to perform endoscope-guided PD for the treatment of esophageal achalasia. It has the advantage of determining mucosal injury during the dilation process, so that a repeat endoscopy is not needed to assess the mucosal tearing. Previous studies have shown that endoscope-guided PD is an efficient and safe nonsurgical therapy with results that compare well with other treatment modalities. Although the results may be promising, long-term follow-up is required in the near future.

Citing Articles

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A young lady with dysphagia.

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Updated Systematic Review of Achalasia, with a Focus on POEM Therapy.

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Impact of preoperative balloon dilatation on outcomes of laparoscopic surgery in young patients with esophageal achalasia.

Tsuboi K, Omura N, Yano F, Hoshino M, Yamamoto S, Akimoto S Esophagus. 2018; 15(1):39-46.

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Gentamicin submucosal lavage during peroral endoscopic myotomy (POEM): a retrospective analysis.

Bayer J, Vackova Z, Svecova H, Stirand P, Spicak J, Martinek J Surg Endosc. 2017; 32(1):300-306.

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