ABSTRACT
Objective To compare the effects of endoscopic probe and self-made balloon device in dilation of the cardia for patients with cardia achalasia.Methods From January 1998 to December 2007,45 patients with cardia achalasia received gastroscopy-assisted dilation at our hospital;22 of them were treated by self-made balloon device and 23 were by endoscopic probe.The efficacies of the two methods were compared.Results In the probe group,each patients received 1 to 9 times of dilation(mean,3.6),while in the balloon group it was 1 to 6 times(mean,2.3).None of the two groups had intra-and post-operative complications.The cost for the first treatment was(1542.57?281.30) yuan in probe group,and(861.91?176.48) yuan in the balloon group(t=9.671,P=0.000).The efficacy of the two groups was similar in 3 months after the treatment [the rates of the cured,improved,and failed were 61%(14),35%(8),and 4%(1) in the probe group,and 68%(15),23%(5),and 9%(2) in the balloon group,Z=-0.351,P=0.726],but significantly different in 6 months [22%(5),13%(3),and 65%(15) vs 45%(10),32%(7),and 23%(5),Z=2.564,P=0.010].Conclusions Both endoscopic probe and self-made balloon device are effective in dilatation of the cardia for cardia achalasia.Self-made balloon device dilatation is exceptionally suitable for local hospitals because of its low cost and simple techniques.
ABSTRACT
Objective To evaluate the effect of mechanical dilation on cardia achalasia under an endoscope.Methods A total of 62 patients with cardia achalasia were treated with mechanical dilation by using a self-designed dilator under a gastroscope.Of the cases,one had experienced a failure of heller surgery,and four had received ballon dilation before the gastroscopy.Results Among the cases,2 were convered to open thoracic surgery becaues of rupture of the esophagus,1 patient could not tolerate the operation,1 received a second dilation because of unsatisfied outcome of the first attempt.In the other 58 patients,the surgery was completed in the first attempt.The mean dilation time was 3.5 minutes(ranged from 2 to 5 minutes).Slight mucosal hemorrhage was observed during the operation,while no continuous bleeding occurred.Cold liquid diet was given to the patients 2 hours after the dilation,and then semiliquid diet was prescribed in 6 hours,after that the patients began to take normal diet gradually.The patients were followed up for 2 to 11 years with a mean of 7.5.All of them were cured without recurrence.Conclusions Endoscopic mechanical dilation is microinvasive,safe,and effective for cardia achalasia.It is worth being widely used because of a low cost and reliable long-term outcomes.
ABSTRACT
Objective To evaluate the curative effect and value of dilatation technique with double balloon in the treatment of cardia achalasia.Methods 52 patients with cardia achalasia were treated by the dilatation technique with double balloon.Results The effective rate was 100% in short term while.In long term,the effective rate was 96% and 100% with one time dilatation and double time dilatations respectively.Conclusion The dilatation technique with double balloon is a safe,effective and easy operated method in the treatment of cardia achalasia.