Table 1 - Prospective comparison of pneumatic dilation and surgery
From the following article
Medical and endoscopic management of achalasia
Nonko Pehlivanov and Pankaj Jay Pasricha
GI Motility online (2006)
doi:10.1038/gimo52
| Dilation (n = 32) | Surgery (n = 42) | |
|---|---|---|
LESP, lower esophageal sphincter pressure. | ||
Source: Modified from Csendes et al.34 | ||
| Type of procedure | Mosher dilation (12–15 psi for 10–20 seconds) | Myotomy + antireflux (Dor) |
| Clinical response | 65% | 95% |
| LESP at 5 years (% baseline) | 16 mm Hg ( 50%) | 10 mm Hg (25%) |
| GE junction at late follow-up (% baseline) | 7.2 mm (270%) | 9 mm (321%) |
| Esophageal diameter at late follow-up (% base line) | 29 mm (70%) | 26 mm (50%) |
| Reflux | 8% | 28% |
| Perforation | 5.6% | — |
| Deaths | 0 | 0 |
| Need for surgery | 22% | — |
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