PNEUMATIC DILATATION OF ACHALASIA CARDIA WITHOUT THE USE OF SEDATION

Objective: The objective of this prospective research is to examine the magnitude of efficacy and safety while conducting pneumatic dilatation of PAC (Primary Achalasia Cardia) without the provision of conscious sedation and also to assess endoscopic signs of "balloon waist" effacement. The said process is trended giving conscious sedation in the presence of endoscopic (ante-grade) guidance. Methodology: The research was performed successfully on subject size of 25 patients with the mean age of (42.56) years. Conscious sedation was not given while conducting diagnosis of radiologic and endoscopic PAC. Results: Symptoms were immediately removed in 92% (23) patients when observed with balloon 'waist' effacement when observed through endoscopic vision. All the patients experienced chest pain and only 68% (17) patients were observed with mild bleeding. Eight percent (2) cases required dilatation again. Follow-up was scheduled from six weeks to twenty-three months. Conclusions: It is very safe performing pneumatic dilatation of Primary Achalasia Cardia with no conscious sedation. Effacement of the 'waist' of the balloon can be observed by EASL (Endoscopic Assessment of stretch on the lower oesophageal Sphincter) ante-grade.