Significats de pneumatic dilation en anglès

Conclusions: Long term results of pneumatic dilation are less favourable than previously thought.

Young patients and those not responding to a single pneumatic dilation should be offered alternative therapy.

Prior endoscopic therapies ( pneumatic dilation or Botulinum toxin) were not associated with poor results.

Methods: Nineteen consecutive patients who had never reached a clinical remission after repeated pneumatic dilation underwent myotomy.

Results: Preoperative patient variables in each group revealed similar distributions for age, gender, and prevalence of previous pneumatic dilation.

Methods: Five consecutive patients presenting with distal esophageal perforation after pneumatic dilation for achalasia were included in this study.

Conclusions: Myotomy is an effective treatment modality in patients with achalasia who have failed to respond to pneumatic dilation.

The clinical long-term results of patients with preceding pneumatic dilation did not differ significantly from those with primary myotomy.

Patients who remain in remission for five years are likely to benefit from the longlasting treatment effect of pneumatic dilation.

Suture of the perforation, contralateral myotomy and partial anterior fundoplication is a good option in the treatment of perforated achalasia after pneumatic dilation.

Fifty-eight patients received pneumatic dilation for more than 2 years; 32 (55 %) responded to the questionnaire.

The cumulative success rates for pneumatic dilation after 5 and 19 years were 74 % and 62 %, respectively.

A single pneumatic dilation resulted in a five year remission rate of 40% and a 10 year remission rate of 36%.

Methods: Between 1981 and 1991, 54 consecutive patients were treated by pneumatic dilation and followed up at regular intervals for a median of 13.8 years.