Clinical Gastroenterology and Hepatology
Volume 8, Issue 1 , Pages 30-35 , January 2010

Long-term Outcome of Pneumatic Dilation in the Treatment of Achalasia

  • Michael Hulselmans

      Affiliations

    • Center for Gastroenterological Research, K. U. Leuven, Leuven, Belgium
    • ,
  • Tim Vanuytsel

      Affiliations

    • Center for Gastroenterological Research, K. U. Leuven, Leuven, Belgium
    • ,
  • Toon Degreef

      Affiliations

    • Center for Gastroenterological Research, K. U. Leuven, Leuven, Belgium
    • ,
  • Daniel Sifrim

      Affiliations

    • Center for Gastroenterological Research, K. U. Leuven, Leuven, Belgium
    • ,
  • Willy Coosemans

      Affiliations

    • Department of Thoracic Surgery, University Hospitals, Leuven, Belgium
    • ,
  • Toni Lerut

      Affiliations

    • Department of Thoracic Surgery, University Hospitals, Leuven, Belgium
    • ,
  • Jan Tack

      Affiliations

    • Center for Gastroenterological Research, K. U. Leuven, Leuven, Belgium
    • Corresponding Author InformationReprint requests Address requests for reprints to: Jan Tack, MD, PhD, Department of Internal Medicine, Division of Gastroenterology, University Hospital Gasthuisberg, Herestraat 49, B-3000 Leuven, Belgium; fax: (32) 16-345939

References 

  1. Vaezi MF, Richter JE. Diagnosis and management of achalasia: for the American College of Gastroenterology Practice Parameter Committee. Am J Gastroenterol. 1999;94:3406–3412
  2. Vantrappen G, Hellemans J. Treatment of achalasia and related motor disorders. Gastroenterology. 1980;79:144–154
  3. Spechler S, Castell D. Classification of oesophageal motility abnormalities. Gut. 2001;49:145–151
  4. Meshkinpour H, Haghighat P, Meshkinpour A. Quality of life among patients treated for achalasia. Dig Dis Sci. 1996;41:352–356
  5. Richter JE. Modern management of achalasia. Curr Treat Options Gastroenterol. 2005;8:275–283
  6. Boeckxstaens GE. Achalasia. Best Pract Res Clin Gastroenterol. 2007;21:595–608
  7. West RL, Hirsch DP, Bartelsman JFWM, et al. Long term results of pneumatic dilation in achalasia followed for more than 5 years. Am J Gastroenterol. 2002;97:1346–1351
  8. Vela MF, Richter JE, Wachsberger D. Complexities of managing achalasia at a tertiary referral center: use of pneumatic dilatation, Heller myotomy, and botulinum toxin injection. Am J Gastroenterol. 2004;99:1029–1036
  9. Karamanolis G, Sgouros S, Karatzias G, et al. Long-term outcome of pneumatic dilation in the treatment of achalasia. Am J Gastroenterol. 2005;100:270–274
  10. Vela MF, Richter JE, Khandwala F, et al. The long-term efficacy of pneumatic dilatation and Heller myotomy for the treatment of achalasia. Clin Gastroenterol Hepatol. 2006;4:580–587
  11. Csendes A, Braghetto I, Burdiles P, et al. Very late results of esophagomyotomy for patients with achalasia: clinical, endoscopic, histologic, manometric, and acid reflux studies in 67 patients for a mean follow-up of 190 months. Ann Surg. 2006;243:196–203
  12. Ortiz A, de Haro LF, Parrilla P, et al. Very long-term objective evaluation of Heller myotomy plus posterior partial fundoplication in patients with achalasia of the cardia. Ann Surg. 2008;247:258–264
  13. Agrawal D, Meekison L, Walker WS. Long-term clinical results of thoracoscopic Heller's myotomy in the treatment of achalasia. Eur J Cardiothorac Surg. 2008;34:423–426
  14. Peillon C, Fromont G, Auvray S, et al. Achalasia: the case for primary laparoscopic treatment. Surg Laparosc Endosc Percutan Tech. 2001;11:71–75
  15. Beckingham IJ. Achalasia of the cardia: dilatation or division? Is pneumatic balloon dilatation justifiable anymore?. Ann R Coll Surg Engl. 2006;88:11–12
  16. Pehlivanov N, Pasricha PJ. Achalasia: botox, dilatation or laparoscopic surgery in 2006. Neurogastroenterol Motil. 2006;18:799–804
  17. Wong RK. Achalasia: should we or should we not follow the bag?. Am J Gastroenterol. 2006;101:698–700
  18. Bonavina L. Minimally invasive surgery for esophageal achalasia. World J Gastroenterol. 2006;12:5921–5925
  19. Kostic S, Kjellin A, Ruth M, et al. Pneumatic dilatation or laparoscopic cardiomyotomy in the management of newly diagnosed idiopathic achalasia: results of a randomized controlled trial. World J Surg. 2007;31:470–478
  20. Eckardt VF, Gockel I, Bernhard G. Pneumatic dilation for achalasia: late results of a prospective follow up investigation. Gut. 2004;53:629–633
  21. Farhoomand K, Connor JT, Richter JE, et al. Predictors of outcome of pneumatic dilation in achalasia. Clin Gastroenterol Hepatol. 2004;2:389–394

 Conflicts of interest The authors disclose no conflicts.

PII: S1542-3565(09)00955-0

doi: 10.1016/j.cgh.2009.09.020

Clinical Gastroenterology and Hepatology
Volume 8, Issue 1 , Pages 30-35 , January 2010

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