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An audit of pneumatic dilatation and oesophagomyotomy in patients with achalasia cardia.
Article Dans Anglais | IMSEAR | ID: sea-125255
ABSTRACT
The role of pneumatic dilatation and oesophagomyotomy in the management of achalasia cardia was evaluated. Twenty patients with achalasia cardia managed either by pneumatic dilatation (n = 10) and oesophagomyotomy (n = 10) were studied. Patients undergoing dilatation were followed up for a mean of 20 months (12-30 months) and those undergoing myotomy for 17 months (6-48 months). The patients were evaluated clinically, radiologically and endoscopically. Relief of dysphagia was excellent in 20%, good in 50% and fair in 30% of those who underwent dilatation. In the myotomy group, 60% had an excellent result, 30% had a good result and fair results was observed in 10%. Oesophagitis on endoscopic evaluation, was found in two patients in myotomy group. The diameter of the gastro-oesophageal junction increased from a mean of 2 mm (range 1 to 4 mm) to a mean of 11 mm (range 4 to 15 mm) in dilatation group while in myotomy group it changed from a mean of 2 mm (range 0.5 to 8 mm) to a mean of 9 mm (range 5 to 15 mm). Symptomatic improvement was better after myotomy than after pneumatic dilatation and correlated poorly with radiological features.
Sujets)
Texte intégral: Disponible Indice: IMSEAR (Asie du Sud-Est) Sujet Principal: Femelle / Humains / Mâle / Achalasie oesophagienne / Études de suivi / Adolescent / Résultat thérapeutique / Adulte / Oesophage / Études d'évaluation comme sujet Type d'étude: Etude diagnostique / Études d'évaluation / Étude observationnelle / Étude pronostique langue: Anglais Année: 1994 Type: Article

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Texte intégral: Disponible Indice: IMSEAR (Asie du Sud-Est) Sujet Principal: Femelle / Humains / Mâle / Achalasie oesophagienne / Études de suivi / Adolescent / Résultat thérapeutique / Adulte / Oesophage / Études d'évaluation comme sujet Type d'étude: Etude diagnostique / Études d'évaluation / Étude observationnelle / Étude pronostique langue: Anglais Année: 1994 Type: Article