achalasia is a well- defined esophageal motor disorder. graded pneumatic dilation using rigiflex ballon is one of the therapeutic modalities that had not been evaluated in a large long-term study. we aimed at evaluating long-term efficacy of graded rigiflex pneumatic dilation in the treatment of achalasia. symptomatic patients with achalasia who had been referred to our center were consecutivel...

among the therapeutic options for achalasia are pneumatic dilatation (pd), an appropriate long-term therapy, and botulinum toxin injection (bt) that is a relatively short-term therapy. this study aimed to compare therapeutic effect of repetitive pneumatic dilation with a combined method (botulinum toxin injection and pneumatic dilation) in a group of achalasia patients who are low responder to ...

background achalasia is the most recognized motor disorder of the esophagus.because it is an uncommon disease, most studies have reviewed small numbers of patients. here, we report demographic, clinical features and treatment outcomes in 700 achalasia patients. methods in all patients, diagnosis was established based on clinical, radiological, endoscopic and manometric criteria. a questionnaire...

background: achalasia is the most recognized esophageal motor disorder with an unknown etiology. symptoms rather than physical findings are hallmarks of the disease. modalilies for treatment include pharmacologic, botulinum toxin injection, pneumatic dilation and surgery. materials and methods: to review the diagnostic and therapeutic options currently available for achalasia. a medline search ...

BACKGROUND and aims: In this prospective study, we determined the long term clinical course of patients with achalasia who were treated by pneumatic dilation using the Browne-McHardy dilator, and determined whether previously described predictors of outcome remain significant after prolonged follow up. METHODS Between 1981 and 1991, 54 consecutive patients were treated by pneumatic dilation a...

BACKGROUND Symptom relief post pneumatic dilation is traditionally used to assess treatment success in achalasia patients. Recently, we showed that symptom relief and objective oesophageal emptying are concordant in about 70% of patients, while up to 30% of achalasia patients report near complete symptom relief despite poor oesophageal emptying of barium. AIMS We now report the results of lon...

achalasia is a primary motor disorder of the esophagus, in which esophageal emptying is impaired. diagnosis of achalasia is based on clinical findings and confirmed by radiologic, endoscopic and manometric evaluations. several treatments for achalasia have been introduced. we searched the pubmed database for original articles and meta-analyses about achalasia to summarize the current knowledge ...

Achalasia is an esophageal motility disorder of unknown cause, characterised by aperistalsis of the esophageal body and impaired lower esophageal sphincter relaxation. Patients present at all ages, primarily with dysphagia for solids/liquids and bland regurgitation. The diagnosis is suggested by barium esophagram or endoscopy and confirmed by esophageal manometry. Achalasia cannot be cured. Ins...