ArticleIndian journal of gastroenterology : official journal of the Indian Society of Gastroenterology2018
Perforation following pneumatic dilation of achalasia cardia in a university hospital in northern India: A two-decade experience.
Article in Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Role of prehabilitative gastrostomy tube feeding to bridge severely malnourished surgically unfit achalasia patients to per-oral endoscopic myotomy.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026Article
- True peristaltic recovery is uncommon following treatment, particularly endoscopic dilation for achalasia cardia, though pseudo-recovery often occurs.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2023Article
- Pneumatic Dilation in Geriatric Achalasia Patients.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2023Article
- Botulinum Toxin A Use in the Gastrointestinal Tract: A Reappraisal After Three Decades.Gastroenterology & hepatology · 2023Article
- Endoscopic clipping of a complicated esophageal perforation following pneumatic dilation for achalasia: A case study and literature review.Clinical case reports · 2022Article
- Laparoscopic Double-Tract Esophago-Jejunostomy Reconstruction for Iatrogenic Esophageal Perforation After Endoscopic Pneumatic Dilatation for Achalasia: A Case Report.The American journal of case reports · 2020Article
- Frequency and factors associated with malnutrition among patients with achalasia and effect of pneumatic dilation.JGH open : an open access journal of gastroenterology and hepatology · 2019Article
- Achalasia: treatment, current status and future advances.The Korean journal of internal medicine · 2019Review
- Peroral endoscopic myotomy (POEM) for achalasia.Journal of thoracic disease · 2019Review
- Surgical Treatment of Esophageal Achalasia in the Era of Minimally Invasive Surgery.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
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7 authors.
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Abstract
Pneumatic dilation (PD) is a cost-effective first-line treatment for achalasia. The most feared complication of PD is esophageal perforation (EP). As data on EP after PD for achalasia are not widely reported, we present the frequency, risk factors, and treatment-outcome of EP. Records of patients undergoing PD for achalasia (January 1995 to September 2015) were retrospectively reviewed. Of 433 patients (age 38 years, 13-88, 57% male), and 521 dilations, 12 were complicated by EP (2.7% of patients and 2.3% of PD). EP occurred in 7 (3.4%), 4 (1.7%), and 1 (4.1%) with use of balloon diameters 30, 35, and 40 mm, respectively. In most (11/12, 92%), EP occurred during the first PD. No risk factor for EP was identified (p = 0.65 for the first dilation vs. > 1 dilation, and 0.75 for balloon size of 30 mm vs. > 30 mm). Seven patients with contrast leak on esophagogram and/or computed tomography scan underwent surgery. One other with contrast leak was successfully treated with a fully covered self-expandable metal stent (FC-SEMS); the remaining four with small leak/pneumomediastinum were managed conservatively. The median duration of hospital stay following perforation was 13 days (7-26) and 8 days (6-10) in surgery and conservative groups, respectively. No mortality was observed in either group. The frequency of EP with PD was 2.3%. Though most EP (92%) occurred during the first dilation, neither the balloon size nor repeated dilations were identified as risk factors. Both surgical and conservative approaches had a favorable outcome in appropriate settings.
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