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위장관 ( 胃腸管 ) : 일차성 Achalasia 환자에서 식도 풍선확장술의 치료 효과
나용호(Yong Ho Nah),김안명(An Myoung Kim),임창인(Chang In Yim),김동웅(Dong Woung Kim),이건화(Keon Hwa Lee),김진오(Jin O Kim),김창일(Chang Il Kim) 대한소화기학회 1990 대한소화기학회지 Vol.22 No.4
N/A Pneumatic diletation. an eifective nonsurgical therapy for achalasia, has been in use for many years. To eva!luate therapeutic effect of pneumatic balloon dilation, 26 patients with achalasia had pneumatie dilatinn using the Rigifiex Achalasia Dilator. Comparison of pre-and postoperative clinical, radiolugical, and manometric recorcling of these subjects were done. The luminal diameter at esophmgopaetric junction increased from a mean of 3.4 mm to 9.6 mm and the luminal diameter at esophageal body decreased from a mean of 69 mm to 42.4 mm following pneumatic dilation. The LES and esophageal body preasure decreased from a mean of 70.8 mmHg and 8.0 mmHg ta 19.2 mmHg and 3.9 giimHg respeetively. Twenty-two patients (84%) improved symptomatically within one week following pneumatic clilation. In the nine patients (30%), the reappearance of peristalsis after wet swallow was observed. One delayed perferation occurred, Two upper Gl bleeding and one pathologic reflux wete noted, but resolved v'ith cotsse ative treatment. We conclude that pneumatic dilation in good hand is an attractive treatment option in achalasia because it is simple, relative safe and successful.