Balloon Dilatation for Achalasia - Prefered Way of Treatment

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added:
13 years ago
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5594
specialty:
Gastroenterology

Case description

Performing balloon dilatation under endoscopic observation as an outpatient procedure is simple, safe and efficacious for treating patients with achalasia and referral of surgical myotomy should be considered for patients who do not respond to medical therapy or individuals that do not desire pneumatic dilatations. The middle of the balloon is generally held about 1 cm above the GE junction as traction of the balloon upon inflation moves the balloon distally into the stomach. Once the balloon is in place, the catheter is held firmly against the bite block to prevent migration of the balloon. Here, the waist of the balloon is noted, which is at the tight lower esophageal sphincter. The balloon is inflated slowly until the waist is obliterated, which is usually 7-10 psi. There is no consensus on the duration of inflation. Some centers repeat the dilation to document that the subsequent pressure is lower.

tags: endoscopy esophagus achalasia balloon dilatation

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