Abstract
The initial treatment of choice in patients with achalasia is balloon dilation. Heretofore, this procedure was performed on an in-hospital basis resulting in high patient cost. This study evaluated the safety and efficacy of pneumatic dilation as an outpatient procedure. Sixty-one procedures were performed on 50 patients at two centers. An overall treatment success rate of 95% (47 of 50 patients) was achieved. Two patients had elective surgical treatment and a third underwent surgery for perforation secondary to dilation. A total of three patients complained of post-procedure chest pain within 4 hours and were hospitalized. Two had perforations; one required surgical repair. The third patient had resolution of symptoms. We conclude that performing balloon dilation as an outpatient procedure is safe, efficacious, and cost effective.
| Original language | English |
|---|---|
| Pages (from-to) | 123-126 |
| Number of pages | 4 |
| Journal | Gastrointestinal Endoscopy |
| Volume | 36 |
| Issue number | 2 |
| State | Published - Jan 1 1990 |
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ASJC Scopus subject areas
- Gastroenterology
Cite this
Forceful balloon dilation : An outpatient procedure for achalasia. / Barkin, Jamie S; Guelrud, M.; Reiner, D. K.; Goldberg, R. I.; Phillips, R. S.
In: Gastrointestinal Endoscopy, Vol. 36, No. 2, 01.01.1990, p. 123-126.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Forceful balloon dilation
T2 - An outpatient procedure for achalasia
AU - Barkin, Jamie S
AU - Guelrud, M.
AU - Reiner, D. K.
AU - Goldberg, R. I.
AU - Phillips, R. S.
PY - 1990/1/1
Y1 - 1990/1/1
N2 - The initial treatment of choice in patients with achalasia is balloon dilation. Heretofore, this procedure was performed on an in-hospital basis resulting in high patient cost. This study evaluated the safety and efficacy of pneumatic dilation as an outpatient procedure. Sixty-one procedures were performed on 50 patients at two centers. An overall treatment success rate of 95% (47 of 50 patients) was achieved. Two patients had elective surgical treatment and a third underwent surgery for perforation secondary to dilation. A total of three patients complained of post-procedure chest pain within 4 hours and were hospitalized. Two had perforations; one required surgical repair. The third patient had resolution of symptoms. We conclude that performing balloon dilation as an outpatient procedure is safe, efficacious, and cost effective.
AB - The initial treatment of choice in patients with achalasia is balloon dilation. Heretofore, this procedure was performed on an in-hospital basis resulting in high patient cost. This study evaluated the safety and efficacy of pneumatic dilation as an outpatient procedure. Sixty-one procedures were performed on 50 patients at two centers. An overall treatment success rate of 95% (47 of 50 patients) was achieved. Two patients had elective surgical treatment and a third underwent surgery for perforation secondary to dilation. A total of three patients complained of post-procedure chest pain within 4 hours and were hospitalized. Two had perforations; one required surgical repair. The third patient had resolution of symptoms. We conclude that performing balloon dilation as an outpatient procedure is safe, efficacious, and cost effective.
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UR - http://www.scopus.com/inward/citedby.url?scp=0025215502&partnerID=8YFLogxK
M3 - Article
VL - 36
SP - 123
EP - 126
JO - Gastrointestinal Endoscopy
JF - Gastrointestinal Endoscopy
SN - 0016-5107
IS - 2
ER -