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Titolo:
FORCEFUL DILATATION UNDER ENDOSCOPIC CONTROL IN THE TREATMENT OF ACHALASIA - A RANDOMIZED TRIAL OF PNEUMATIC VERSUS METALLIC DILATOR
Autore:
MEARIN F; ARMENGOL JR; CHICHARRO L; PAPO M; BALBOA A; MALAGELADA JR;
Indirizzi:
AUTONOMOUS UNIV BARCELONA,HOSP GEN VALLE HEBRON,DIGEST SYST RES UNIT E-08035 BARCELONA SPAIN
Titolo Testata:
Gut
fascicolo: 10, volume: 35, anno: 1994,
pagine: 1360 - 1362
SICI:
0017-5749(1994)35:10<1360:FDUECI>2.0.ZU;2-E
Fonte:
ISI
Lingua:
ENG
Soggetto:
ESOPHAGEAL-PERFORATION; ESOPHAGOMYOTOMY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
16
Recensione:
Indirizzi per estratti:
Citazione:
F. Mearin et al., "FORCEFUL DILATATION UNDER ENDOSCOPIC CONTROL IN THE TREATMENT OF ACHALASIA - A RANDOMIZED TRIAL OF PNEUMATIC VERSUS METALLIC DILATOR", Gut, 35(10), 1994, pp. 1360-1362

Abstract

Forceful dilatation under endoscopic control is a well established treatment of achalasia; several different types dilators can be used. This study prospectively compared the clinical and manometric efficacy of a single dilatation using two different dilators. Forty one patientswere randomly assigned to forceful dilatation under endoscopic control with either a pneumatic dilator (n = 17) or a metallic dilator (n = 24). Thereafter, the patients received periodic clinical and manometric evaluation for one year (before and one, six, and 12 months after dilatation). One month after dilatation all but one of the subjects in each group had experienced good to excellent results and their clinicalimprovement persisted for the one year follow up. Two patients (one in each group) were perforated during the procedure and required surgical treatment. Recovery was uneventful in both cases. Resting lower oesophageal sphincter pressure (mean (SEM)) significantly and similarly decreased after both methods of dilatation (pneumatic dilator: before dilatation 37 (3) mm Hg, one year after dilatation 18 (3) mm Hg; metallic dilator: before dilatation 34 (2) mm Hg, one year after dilatation 17 (3) mm Hg; p < 0.05 for both). It is concluded that in the treatment of achalasia a single dilatation under endoscopic control with either pneumatic or metallic dilator yield comparable clinical and manometric results and similar complication rates. The use of one or other dilator should depend more on the preference and experience of the endoscopist than on the type of device.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/11/20 alle ore 21:13:51