More forceful maneuver to perform dilation Forceful balloon dilation was the mainstay of treatment for achalasia for many years. In this procedure, a pneumatic balloon is passed down the esophagus, half above and half below the LES. The balloon is then rapidly inflated for about a minute. As the balloon expands, it forcefully stretches and weakens the LES. Forceful pneumatic dilatation can be very successful and may last for a decade or longer.
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