Effect of method of pneumatic dilatation balloon treatment achalasia under the guidance of endoscopy
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Abstract
Objective: Evaluate on treatment effectiveness achalasia by the method of balloon dilation of vapors through the endoscopy and determined the complications of this method. Subject and method: From Juanary 2014 to September 2017 in Gastroenterology Department of 108 Military Central Hospital total 34 patients with achalasia were treated with a 3.5cm Rigiflex balloon (Boston Scientific - USA) and pressure 5psi to 10psi. Result: The is no difference between age groups and gender. Maily patrients with from 1 - 10 years. The symptoms difficulty swallowing, regurgitation, chest pain, weight loss, improved after dilation (p<0.05). The cases frequency symptoms appears more and heavy back is good improvement after balloon dilation. Complications common after dilatations is pain behind the breastbone (20.6%), GERD (23.5%), special 2 cases torn esophagus (5.9%). Conclusion: Pneumatic dilation is a highly effective in the treatment of achalasia, improve good syndrome: Difficulty swallowing, regurgitation, chest pain, weight loss. Pneumatic dilation is a safe method, less complications in which torn esophagus (5.9%), pain behind the breastbone (20.6%), GERD (23.5%) after dilation.
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