Endoscopic balloon dilatation in the treatment of achalasia of the long-term effect.docVIP

 PAGE \* MERGEFORMAT 9 Endoscopic balloon dilatation in the treatment of achalasia of the long-term effect On: Sun Haiping Li Jinsheng Wang Qi Zhao Wei side [Keywords:] achalasia; endoscopic balloon dilatation; long-term effect Achalasia as a cause has not been fully defined esophageal motility disorders, the traditional conservative treatment methods for the medical or surgical treatment, but the poor medical treatment, surgical trauma and complications, the same recurrence possible. in recent years with the development of endoscopy and interventional techniques, endoscopic balloon dilatation of achalasia has become the preferred treatment [1,2]. because of the method is minimally invasive, effective with few complications and can be implemented in the clinic, etc., easily accepted by patients. in our hospital the treatment of endoscopic balloon dilatation of achalasia, and achieved good long-term effect. 1 objects and methods 1.1 General information since December 1994 with achalasia treated in 68 patients, 29 males and 39 females, aged 18 to 66 years, mean 35 years of age, duration of 1 to 23 years, an average of 5 years, and after surgery recurrence in 5 cases. 1.2 Symptoms and treatment of dysphagia previous 68 (100%), according to Stooler classification, ie 0: normal diet; 1: can not enter into solid food; two: to enter semi-liquid diet; 3: to carry liquid food; 4: You can not eat. this group of patients swallowing one in 25 cases (36.8%), grade 2 in 38 cases (55.9%), grade 3 in 5 cases (7.3%); reflux and vomiting after eating 68 cases (100% ), chest pain and chest pain in 59 cases (86.8%), heartburn in 56 cases (82.4%). previous treatment: 62 cases of oral calcium antagonists, oral M receptor blocker in 25 cases, 35 cases of traditional Chinese medicine, acupuncture 11 cases, surgical treatment in 5 cases. 1.3 X-ray examination of all patients with the line of endoscopic balloon dilatation prior esophageal X-ray barium meal examinati