Pneumatic dilatation in the treatment of achalasia.

Abstract:

:The results of a European survey on pneumatic dilatation in the treatment of achalasia have been compiled from a questionnaire completed by 18 different surgical teams. The total number of patients investigated was 2,161. Surgical treatment was prescribed by 94% of teams, whereas pneumatic dilatation was only prescribed by 56%. The indications for pneumatic dilatation were: inoperability (28%), drug failure (17%), surgical failure (11%). Nine surgeons believe pneumatic dilatation is indicated in all cases (50%), four consider it ineffective and useless (22%), and one expressed no opinion (6%). The arguments in favour of pneumatic dilatation are the fact that the procedure is minor and cost efficient and that it is relatively safe and effective with good long-term results in 75% of cases. Pneumatic dilatation should be used as the initial treatment in achalasia; surgery is only indicated in cases of failure.

journal_name

Int Surg

journal_title

International surgery

authors

Monges B,Grimaud JC,Richieri JP,Botti G,Salducci J

subject

Has Abstract

pub_date

1985-01-01 00:00:00

pages

17-21

issue

1

eissn

0020-8868

issn

2520-2456

journal_volume

70

pub_type

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