Abstract
Purpose. Aim of the study is to evaluate the efficacy of the endoscopic (pneumatic dilation) versus surgical (Heller myotomy) treatment in patients affected by esophageal achalasia using barium X-ray examination of the digestive tract performed before and after the treatment. Materials and Methods. 19 patients (10 males and 9 females) were enrolled in this study; each patient underwent a barium X-ray examination to evaluate the esophageal diameter and the height of the barium column before and after endoscopic or surgical treatment. Results. The mean variation of oesophageal diameter before and after treatment is -2.1 mm for surgery and 1.74 mm for pneumatic dilation (OR 0.167, CI 95% 0.02-1.419, and P: 0.10). The variations of all variables, with the exception of the oesophageal diameter variation, are strongly related to the treatment performed. Conclusions. The barium X-ray study of the digestive tract, performed before and after different treatment approaches, demonstrates that the surgical treatment has to be considered as the treatment of choice of achalasia, reserving endoscopic treatment to patients with high operative risk and refusing surgery.
| Original language | English |
|---|---|
| Article number | 2657876 |
| Journal | Gastroenterology Research and Practice |
| Volume | 2016 |
| DOIs | |
| Publication status | Published - 2016 |
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ASJC Scopus subject areas
- Gastroenterology
- Hepatology
Cite this
Imaging in the evaluation of endoscopic or surgical treatment for Achalasia. / Palladino, Diego; Mardighian, Andrea; D'Amora, Marilina; Roberto, Luca; Lassandro, Francesco; Rossi, Claudia; Gatta, Gianluca; Scaglione, Mariano; Giuseppe, Guglielmi.
In: Gastroenterology Research and Practice, Vol. 2016, 2657876, 2016.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Imaging in the evaluation of endoscopic or surgical treatment for Achalasia
AU - Palladino, Diego
AU - Mardighian, Andrea
AU - D'Amora, Marilina
AU - Roberto, Luca
AU - Lassandro, Francesco
AU - Rossi, Claudia
AU - Gatta, Gianluca
AU - Scaglione, Mariano
AU - Giuseppe, Guglielmi
PY - 2016
Y1 - 2016
N2 - Purpose. Aim of the study is to evaluate the efficacy of the endoscopic (pneumatic dilation) versus surgical (Heller myotomy) treatment in patients affected by esophageal achalasia using barium X-ray examination of the digestive tract performed before and after the treatment. Materials and Methods. 19 patients (10 males and 9 females) were enrolled in this study; each patient underwent a barium X-ray examination to evaluate the esophageal diameter and the height of the barium column before and after endoscopic or surgical treatment. Results. The mean variation of oesophageal diameter before and after treatment is -2.1 mm for surgery and 1.74 mm for pneumatic dilation (OR 0.167, CI 95% 0.02-1.419, and P: 0.10). The variations of all variables, with the exception of the oesophageal diameter variation, are strongly related to the treatment performed. Conclusions. The barium X-ray study of the digestive tract, performed before and after different treatment approaches, demonstrates that the surgical treatment has to be considered as the treatment of choice of achalasia, reserving endoscopic treatment to patients with high operative risk and refusing surgery.
AB - Purpose. Aim of the study is to evaluate the efficacy of the endoscopic (pneumatic dilation) versus surgical (Heller myotomy) treatment in patients affected by esophageal achalasia using barium X-ray examination of the digestive tract performed before and after the treatment. Materials and Methods. 19 patients (10 males and 9 females) were enrolled in this study; each patient underwent a barium X-ray examination to evaluate the esophageal diameter and the height of the barium column before and after endoscopic or surgical treatment. Results. The mean variation of oesophageal diameter before and after treatment is -2.1 mm for surgery and 1.74 mm for pneumatic dilation (OR 0.167, CI 95% 0.02-1.419, and P: 0.10). The variations of all variables, with the exception of the oesophageal diameter variation, are strongly related to the treatment performed. Conclusions. The barium X-ray study of the digestive tract, performed before and after different treatment approaches, demonstrates that the surgical treatment has to be considered as the treatment of choice of achalasia, reserving endoscopic treatment to patients with high operative risk and refusing surgery.
UR - http://www.scopus.com/inward/record.url?scp=84956910653&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84956910653&partnerID=8YFLogxK
U2 - 10.1155/2016/2657876
DO - 10.1155/2016/2657876
M3 - Article
AN - SCOPUS:84956910653
VL - 2016
JO - Gastroenterology Research and Practice
JF - Gastroenterology Research and Practice
SN - 1687-6121
M1 - 2657876
ER -