Correction of obstruction of the upper digestive tract using balloon dilation
EAES Academy. Babii O. 07/05/22; 363181; P226
Abstract
Objectives. In recent years, balloon dilatation (BD) for diseases requiring correction of the impaired patency of the upper digestive tract has become widespread.
Purpose:
to assess the effectiveness of the use of the balloon dilatation in patients with impaired of the upper digestive tract.
Materials and methods. In the Institute department of surgery for the period from 2006 to 2021, BD was performed in 330 patients. 227 of them diagnosed with achalasia of cardia (AC): 21 - 1 stage, 92 - 2 stage, 68 - 3 stage, 46 - 4 stage. 11 patients diagnosed with pylorospasm, 35 patients had compensated stenosis and 57 patients had subcompensated ulcerative pyloroduodenal stenosis. There were 106 males, 224 females, average age (45.6 ± 5.4).
BD was performed under endoscopic and / or x-ray control by “Boston Scientific” balloons with a diameter of 18–20 mm, 35 mm and 40 mm, a course of 3–6 sessions with an interval of 1–3 days and a cylinder exposure of 3–6 min. Evaluation of BD was performed using esophagogastroscopy, balloon manometry and X-ray passage of barium.
Results:
In the course of the study, the existing indications were refined and new indications were developed for performing an endoscopic BD in pyloroduodenal stenosis and in AC.
In patients with stage 1–2 AC, a positive result was noted in 94.6% of cases already after the first session of BD. Recurrences of AC after BD for up to 5 years were established in 53 (24.2%) patients: at stage 1 - in 9.5%, at stage 2 - in 16.3%, at stage 3 - in 23.5% and at stage 4 - in 47.8%. Repeated BD courses in case of AC recurrence in 29 (13.8%) cases turned out to be ineffective.
Recurrence of pyloroduodenal subcompensated stenosis was diagnosed in 2.9% of cases in the period of 4 years after performing BD.
Conclusions. BD is an effective method for correcting the permeability of the upper digestive tract caused by the pathology of the esophagogastroduodenal region.
Keywords: balloon dilatation, achalasia of cardia, pylorospasm, ulcerative pyloroduodenal stenosis, recurrences.
Purpose:
to assess the effectiveness of the use of the balloon dilatation in patients with impaired of the upper digestive tract.
Materials and methods. In the Institute department of surgery for the period from 2006 to 2021, BD was performed in 330 patients. 227 of them diagnosed with achalasia of cardia (AC): 21 - 1 stage, 92 - 2 stage, 68 - 3 stage, 46 - 4 stage. 11 patients diagnosed with pylorospasm, 35 patients had compensated stenosis and 57 patients had subcompensated ulcerative pyloroduodenal stenosis. There were 106 males, 224 females, average age (45.6 ± 5.4).
BD was performed under endoscopic and / or x-ray control by “Boston Scientific” balloons with a diameter of 18–20 mm, 35 mm and 40 mm, a course of 3–6 sessions with an interval of 1–3 days and a cylinder exposure of 3–6 min. Evaluation of BD was performed using esophagogastroscopy, balloon manometry and X-ray passage of barium.
Results:
In the course of the study, the existing indications were refined and new indications were developed for performing an endoscopic BD in pyloroduodenal stenosis and in AC.
In patients with stage 1–2 AC, a positive result was noted in 94.6% of cases already after the first session of BD. Recurrences of AC after BD for up to 5 years were established in 53 (24.2%) patients: at stage 1 - in 9.5%, at stage 2 - in 16.3%, at stage 3 - in 23.5% and at stage 4 - in 47.8%. Repeated BD courses in case of AC recurrence in 29 (13.8%) cases turned out to be ineffective.
Recurrence of pyloroduodenal subcompensated stenosis was diagnosed in 2.9% of cases in the period of 4 years after performing BD.
Conclusions. BD is an effective method for correcting the permeability of the upper digestive tract caused by the pathology of the esophagogastroduodenal region.
Keywords: balloon dilatation, achalasia of cardia, pylorospasm, ulcerative pyloroduodenal stenosis, recurrences.
Objectives. In recent years, balloon dilatation (BD) for diseases requiring correction of the impaired patency of the upper digestive tract has become widespread.
Purpose:
to assess the effectiveness of the use of the balloon dilatation in patients with impaired of the upper digestive tract.
Materials and methods. In the Institute department of surgery for the period from 2006 to 2021, BD was performed in 330 patients. 227 of them diagnosed with achalasia of cardia (AC): 21 - 1 stage, 92 - 2 stage, 68 - 3 stage, 46 - 4 stage. 11 patients diagnosed with pylorospasm, 35 patients had compensated stenosis and 57 patients had subcompensated ulcerative pyloroduodenal stenosis. There were 106 males, 224 females, average age (45.6 ± 5.4).
BD was performed under endoscopic and / or x-ray control by “Boston Scientific” balloons with a diameter of 18–20 mm, 35 mm and 40 mm, a course of 3–6 sessions with an interval of 1–3 days and a cylinder exposure of 3–6 min. Evaluation of BD was performed using esophagogastroscopy, balloon manometry and X-ray passage of barium.
Results:
In the course of the study, the existing indications were refined and new indications were developed for performing an endoscopic BD in pyloroduodenal stenosis and in AC.
In patients with stage 1–2 AC, a positive result was noted in 94.6% of cases already after the first session of BD. Recurrences of AC after BD for up to 5 years were established in 53 (24.2%) patients: at stage 1 - in 9.5%, at stage 2 - in 16.3%, at stage 3 - in 23.5% and at stage 4 - in 47.8%. Repeated BD courses in case of AC recurrence in 29 (13.8%) cases turned out to be ineffective.
Recurrence of pyloroduodenal subcompensated stenosis was diagnosed in 2.9% of cases in the period of 4 years after performing BD.
Conclusions. BD is an effective method for correcting the permeability of the upper digestive tract caused by the pathology of the esophagogastroduodenal region.
Keywords: balloon dilatation, achalasia of cardia, pylorospasm, ulcerative pyloroduodenal stenosis, recurrences.
Purpose:
to assess the effectiveness of the use of the balloon dilatation in patients with impaired of the upper digestive tract.
Materials and methods. In the Institute department of surgery for the period from 2006 to 2021, BD was performed in 330 patients. 227 of them diagnosed with achalasia of cardia (AC): 21 - 1 stage, 92 - 2 stage, 68 - 3 stage, 46 - 4 stage. 11 patients diagnosed with pylorospasm, 35 patients had compensated stenosis and 57 patients had subcompensated ulcerative pyloroduodenal stenosis. There were 106 males, 224 females, average age (45.6 ± 5.4).
BD was performed under endoscopic and / or x-ray control by “Boston Scientific” balloons with a diameter of 18–20 mm, 35 mm and 40 mm, a course of 3–6 sessions with an interval of 1–3 days and a cylinder exposure of 3–6 min. Evaluation of BD was performed using esophagogastroscopy, balloon manometry and X-ray passage of barium.
Results:
In the course of the study, the existing indications were refined and new indications were developed for performing an endoscopic BD in pyloroduodenal stenosis and in AC.
In patients with stage 1–2 AC, a positive result was noted in 94.6% of cases already after the first session of BD. Recurrences of AC after BD for up to 5 years were established in 53 (24.2%) patients: at stage 1 - in 9.5%, at stage 2 - in 16.3%, at stage 3 - in 23.5% and at stage 4 - in 47.8%. Repeated BD courses in case of AC recurrence in 29 (13.8%) cases turned out to be ineffective.
Recurrence of pyloroduodenal subcompensated stenosis was diagnosed in 2.9% of cases in the period of 4 years after performing BD.
Conclusions. BD is an effective method for correcting the permeability of the upper digestive tract caused by the pathology of the esophagogastroduodenal region.
Keywords: balloon dilatation, achalasia of cardia, pylorospasm, ulcerative pyloroduodenal stenosis, recurrences.
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