Follow-up of endoscopic pneumatic dilation for achalasia of cardia
10.3760/cma.j.issn.1007-5232.2018.04.004
- VernacularTitle:内镜下球囊扩张治疗贲门失弛缓症的中远期随访观察
- Author:
Peng CHENG
1
;
Yu BAI
;
Jun FANG
;
Shengbing ZHAO
;
Shuling WANG
;
Zhengrong ZHONG
;
Xiangjun MENG
;
Zhaoshen LI
Author Information
1. 第二军医大学(海军军医大学)长海医院消化内科
- Keywords:
Esophageal achalasia;
Follow-up studies;
Endoscopic treatment;
Pneumatic dilation
- From:
Chinese Journal of Digestive Endoscopy
2018;35(4):244-247
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the mid-to-long term therapeutic effect of endoscopic pneumatic dilation for achalasia of cardia (AC).Methods Endoscopic pneumatic dilation was used in 45 AC patients, with follow-up of 2-12 years. Eckardt score and Stooler grading were used before and after the operation for evaluation of curative effect of dilation. Results The operation success rate was 97. 8%( 44/45) and the effective remission rate was 93. 2%( 41/44 ). No massive hemorrhage, perforation or other serious complications occurred.The longest follow-up time was up to 144 months.Ten cases were followed up for over 60 months. Patients′symptoms relieved significantly (P＜0. 01). Eckardt scores in 24 months and 60 months after operation significantly decreased compared with those before the operation ( P＜0. 01). But Eckardt score in 60 months was higher than that in 24 months ( P＜0. 01). The length of the disease history was positively related to post-operative scores, and negatively related to efficacy ( P＜0. 01). Conclusion Endoscopic balloon dilation is a satisfactory therapy to AC with good efficacy and safety.
