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Volume 7, Issue 7 (Suppl) J Gastrointest Dig Syst
ISSN: 2161-069X JGDS, an open access journal Gastroenterologists 2017
December 14-15, 2017
December 14-15, 2017 Dubai, UAE
11th World
Gastroenterologists Summit
Endoscope guided pneumatic dilatation of achalasia cardia: Efficacy outcomes and complications at
a single tertiary care center
Mohammed Noufal B, Venkateswaran A R, Kani Shaikh , Ratnakar Kini, Prem Kumar K, Pugazhendhi T, Radhakrishnan N, Thinakar Mani B and
Sibithooran K
Institute of Medical Gastroenterology, Madras Medical College, India
Introduction: Pneumatic dilation (PD) is considered to be the first line nonsurgical therapy for achalasia. The principle of the
procedure is to weaken the lower esophageal sphincter by tearing its muscle fibers, thereby generating radial force which is
done endoscopically without fluoroscopic control, using a low-compliance balloon such as Rigiflex dilator. It has the advantage
of determining mucosal injury during the dilation process, so that repeat endoscopy is not needed to assess the mucosal
tearing.
Aim: To study the series of cases of achalasia cardia, managed by pneumatic dilatation and observe their efficacy, outcomes and
complications presenting in our center (Rajiv Gandhi Government General Hospital) during the period of July 2015 to 2017.
Methods: 27 cases of achalasia cardia which are presented to our center (RGGGH) during July 2015 to 2017 and managed by
endoscope guided pneumatic dilatation were retrospectively analyzed and their outcomes were observed.
Results: 25 of 27 patients with achalasia presented with dysphagia for solids or liquids. 20 patients had regurgitation and
vomiting. Weight loss of more than 5 kg was observed in 10 patients. History of nocturnal cough was present in 7 patients.
35 dilatations were performed in 27 patients. All patients had relief of dysphagia and regurgitation within 24 hours. Barium
swallow within a week of dilatation showed a decrease in the maximum diameter of the esophagus from 42.4±11.4 mm to
30.5±10.5 mm and increase in the diameter of the narrowed lower segment from 2.45±1.5 mm to 11.4±2.2 mm. None of the
patients showed a hold up of barium after dilatation. 20 patients complained of retrosternal pain during procedure but none
persisted for 24 hours. No perforations were encountered during the study. There was no procedural mortality.
Conclusion: Endoscope-guided PD is an efficient and safe nonsurgical therapy with results comparable to other treatment
modalities.
Biography
Mohammed Noufal B has completed his MBBS and MD Internal Medicine from The Tamil Nadu Dr. MGR Medical University. He is currently pursuing his
Postgraduate course, DM in Medical Gastroenterology at the Madras Medical College Chennai, India. He has published papers in reputed journals and conducted
various research studies.
Mohammed Noufal B ., J Gastrointest Dig Syst 2017, 7:7 (Suppl)
DOI: 10.4172/2161-069X-C1-061