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Balloon dilatation in achalasia cardia

V Singh1, A Duseja, A Kumar

  • 1Indira Gandhi Institute of Medical Sciences (IGIMS), Patna, India.

Tropical Gastroenterology : Official Journal of the Digestive Diseases Foundation
|September 15, 1999
PubMed

Insights

Pneumatic dilatation is a safe and effective treatment for achalasia cardia in Indian patients. This study shows high success rates with minimal complications, establishing it as a viable option.

Area of Science:

  • Gastroenterology
  • Interventional Endoscopy

Background:

  • Achalasia cardia is a rare esophageal motility disorder.
  • Pneumatic dilatation is a recognized treatment, but data from Indian populations are limited.

Purpose of the Study:

  • To evaluate the efficacy and safety of pneumatic dilatation for achalasia cardia in Indian patients.
  • To assess the success rates and complication profile of this procedure in a local context.

Main Methods:

  • A retrospective analysis of 38 Indian patients diagnosed with achalasia cardia.
  • Diagnosis confirmed via clinical examination, barium swallow, and upper gastrointestinal endoscopy.
  • Treatment involved pneumatic dilatation, with repeat procedures as needed.

Main Results:

  • A high success rate was observed: 76.3% improved after the first dilatation.
  • An additional 21% and 2.6% required second and third dilatations, respectively.
  • Complications were low, with immediate and late rates of 13% and 5.2%.

Conclusions:

  • Pneumatic dilatation is a simple, safe, and effective treatment for achalasia cardia in Indian patients.
  • The procedure demonstrates favorable outcomes and a manageable complication profile in this demographic.
  • Further studies can explore long-term outcomes and comparative effectiveness.

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