Forceful balloon dilation

An outpatient procedure for achalasia

Jamie S Barkin, M. Guelrud, D. K. Reiner, R. I. Goldberg, R. S. Phillips

Research output: Contribution to journalArticle

88 Citations (Scopus)

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 languageEnglish
Pages (from-to)123-126
Number of pages4
JournalGastrointestinal Endoscopy
Volume36
Issue number2
StatePublished - Jan 1 1990

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Esophageal Achalasia
Dilatation
Outpatients
Costs and Cost Analysis
Chest Pain
Therapeutics
Safety

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Barkin, J. S., Guelrud, M., Reiner, D. K., Goldberg, R. I., & Phillips, R. S. (1990). Forceful balloon dilation: An outpatient procedure for achalasia. Gastrointestinal Endoscopy, 36(2), 123-126.

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 journalArticle

Barkin, JS, Guelrud, M, Reiner, DK, Goldberg, RI & Phillips, RS 1990, 'Forceful balloon dilation: An outpatient procedure for achalasia', Gastrointestinal Endoscopy, vol. 36, no. 2, pp. 123-126.
Barkin JS, Guelrud M, Reiner DK, Goldberg RI, Phillips RS. Forceful balloon dilation: An outpatient procedure for achalasia. Gastrointestinal Endoscopy. 1990 Jan 1;36(2):123-126.
Barkin, Jamie S ; Guelrud, M. ; Reiner, D. K. ; Goldberg, R. I. ; Phillips, R. S. / Forceful balloon dilation : An outpatient procedure for achalasia. In: Gastrointestinal Endoscopy. 1990 ; Vol. 36, No. 2. pp. 123-126.
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