FORCEFUL BALLOON DILATION - AN OUTPATIENT PROCEDURE FOR ACHALASIA

被引:78
作者
BARKIN, JS [1 ]
GUELRUD, M [1 ]
REINER, DK [1 ]
GOLDBERG, RI [1 ]
PHILLIPS, RS [1 ]
机构
[1] HOSP GEN OESTE CARACAS,DEPT GASTROENTEROL,CARACAS,VENEZUELA
关键词
D O I
10.1016/S0016-5107(90)70964-9
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
The initial treatment of choice in patients with achalasia is balloon dilation. Heretofore, this procedure was performed on an in-hospital basis resulting in high patient cost. This study evaluated the safety and efficacy of pneumatic dilation as an outpatient procedure. Sixty-one procedures were performed on 50 patients at two centers. An overall treatment success rate of 95% (47 of 50 patients) was achieved. Two patients had elective surgical treatment and a third underwent surgery for perforation secondary to dilation. A total of three patients complained of post-procedure chest pain within 4 hours and were hospitalized. Two had perforations; one required surgical repair. The third patient had resolution of symptoms. We conclude that performing balloon dilation as an outpatient procedure is safe, efficacious, and cost effective. © 1990, American Society for Gastrointestinal Endoscopy. All rights reserved.
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收藏
页码:123 / 126
页数:4
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