Effect of method of pneumatic dilatation balloon treatment achalasia under the guidance of endoscopy

  • Dương Minh Thắng Bệnh viện Trung ương Quân đội 108
  • Vũ Văn Khiên Bệnh viện Trung ương Quân đội 108

Main Article Content

Keywords

Pneumatic dilatation balloon, achalasia

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.

Article Details

References

1. Nguyễn Thuý Oanh, Quách Trọng Đức (2008) Nong thực quản bằng bóng trong điều trị co thắt tâm vị. Tạp chí Y học thành phố Hồ Chí Minh, tập 12, phụ bản số 1, tr. 1-6.
2. Ngô Phương Minh Thuận, Hồ Đăng Quý Dũng và công sự (2012) Đánh giá hiệu quả của kỹ thuật nong bằng bóng qua nội soi trong bệnh lý hẹp thực quản - tâm vị lành tính tại Bệnh viện Chợ Rẫy. Tạp chí Y học thực hành, 832, tr. 100-105.
3. Eckardt VF, Gockel I et al (2004) Pneumatic dilation for achalasia: Late results of a prospective follow up investigation. Gut 53(5): 629-633.
4. Adreevski V, Nojkob B et al (2013) Short and medium-term therapeutic effects of pneumatic dilation for achalasia: A 15 years tertiary centre experience. Prilozi 34(2): 15-22.
5. Kadakia S, Wong RK (1993) Graded pneumatic dilation using Rigiflex achalasia dilators in patients with primary esophageal achalasia. The American Journal of gastroenterology 88(1): 34-38.
6. Aljebreen AM et al (2014) Efficacy of pneumatic dilation in Saudi Achalsia patients. Saudi J. Gastroenterology 20(1): 43-47.
7. Reynolds NL et al (1993) Complications during pneumatic dilation for achalasia or duffuse esophageal spasm. Analysis of rich factor, early clinical charactesistics and outcome. Digestiv diseases and sciences 38: 1893-1898.