Pneumatic dilation for esophageal achalasia: patient selection and perspectives

被引：4

作者：

Mohammed, Abdul ^{[1
]}

Garg, Rajat ^{[2
]}

Paranji, Neethi ^{[3
]}

Samineni, Aneesh, V ^{[2
]}

Thota, Prashanthi N. ^{[2
]}

Sanaka, Madhusudhan R. ^{[2
]}

机构：

[1] Cleveland Clin Fdn, Dept Hosp Med, 9500 Euclid Ave, Cleveland, OH 44195 USA

[2] Cleveland Clin Fdn, Digest Dis & Surg Inst, Dept Gastroenterol Hepatol & Nutr, Cleveland, OH 44195 USA

[3] MetroHlth Med Ctr, Dept Gastroenterol & Hepatol, Cleveland, OH USA

来源：

SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY | 2022年 / 57卷 / 06期

关键词：

Achalasia; pneumatic dilation; Eckardt score; esophagogastroduodenoscopy; esophagogram; PERORAL ENDOSCOPIC MYOTOMY; LAPAROSCOPIC HELLER MYOTOMY; RANDOMIZED CONTROLLED-TRIAL; BALLOON DILATATION; BOTULINUM-TOXIN; PEDIATRIC ACHALASIA; RISK-FACTORS; MANAGEMENT; EFFICACY; PERFORATION;

D O I：

10.1080/00365521.2022.2034940

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Achalasia is an esophageal motility disorder characterized by esophageal aperistalsis and impaired relaxation of the lower esophageal sphincter. Treatment is palliative, aimed at decreasing the lower esophageal sphincter pressure. Pneumatic dilation (PD) is a safe and effective treatment for achalasia. Several other invasive and minimally invasive treatment modalities, such as Laparoscopic Heller Myotomy (LHM) and Peroral Endoscopic Myotomy (POEM), also have a comparable safety and efficacy profile to PD. The current review focuses on the indications, contraindications, techniques, and outcomes of PD in various patient populations and its comparison to LHM and POEM. This review also provides relevant information to help endoscopists identify those patients who will benefit the most from PD.

引用

页码：650 / 659

页数：10

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