Achalasia cardia: A study of 113 patients managed with indigenous dilator.

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dc.contributor.authorNijhawan, Sen_US
dc.contributor.authorMathur, Aen_US
dc.contributor.authorKumar, Den_US
dc.contributor.authorTandon, Men_US
dc.contributor.authorRastogi, Men_US
dc.contributor.authorJoshi, Aen_US
dc.contributor.authorShende, Aen_US
dc.contributor.authorAgarwal, Nen_US
dc.contributor.authorRai, R Ren_US
dc.date.accessioned2006-01-17en_US
dc.date.accessioned2009-06-04T04:02:21Z
dc.date.available2006-01-17en_US
dc.date.available2009-06-04T04:02:21Z
dc.date.issued2006-01-17en_US
dc.description.abstractBACKGROUND: Endoscopic dilatation of achalasia cardia is an effective nonsurgical management option. It requires costly pneumatic dilators which are used under fluoroscopic guidance. This study assesses the efficacy and safety of an indigenous pneumatic dilator used without fluoroscopic guidance. METHODS: Over a period of eleven years, 113 patients (69M, 44F) ofachalasia cardia underwent dilatation with indigenous pneumatic dilators without fluoroscopic guidance. The dilatation was performed under endoscopic vision. RESULTS: The procedure was successful in all patients. After six weeks following dilatation, there was significant improvement in the mean dysphagia score 3.63 + 0.61 to 0.53 + 0.93 (P<0.01). The response was still significant (0.78 + 1.03, P <0.05) at the end of one year. Excellent response with single dilatation was seen in 70.7% patients. After two dilatation sessions 92% of patients showed an excellent response. One patient had perforation. There was no mortality. CONCLUSION: Pneumatic dilatation under endoscopic vision without fluoroscopic assistance with the indigenous dilator is very effective and safe for short term treatment of achalasia carida.en_US
dc.description.affiliationDepartment of Gastroenterology, SMS. Medical College and Hospital, Jaipur. dr_nijhawan@yahoomail.comen_US
dc.identifier.citationNijhawan S, Mathur A, Kumar D, Tandon M, Rastogi M, Joshi A, Shende A, Agarwal N, Rai RR. Achalasia cardia: A study of 113 patients managed with indigenous dilator. Tropical Gastroenterology. 2006 Jan-Mar; 27(1): 31-3en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/124664
dc.language.isoengen_US
dc.source.urihttps://www.tropicalgastro.comen_US
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshBalloon Dilatation --instrumentationen_US
dc.subject.meshEndoscopyen_US
dc.subject.meshEsophageal Achalasia --therapyen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.titleAchalasia cardia: A study of 113 patients managed with indigenous dilator.en_US
dc.typeClinical Trialen_US
dc.typeJournal Articleen_US
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