PDF herunterladen
Endoscopy 1990; 22(2): 63-64
DOI: 10.1055/s-2007-1012793
Original Contributions

© Georg Thieme Verlag KG Stuttgart · New York

The Danger of High Compliance Balloons for Esophageal Dilatation in Achalasia

R. Rabinovici, E. Katz, E. Goldin* , Y. Kluger, A. Ayalon
  • Department of Surgery, Hadassah University Hospital, Jerusalem, Israel
  • *Department of Gastroenterology, Hadassah University Hospital, Jerusalem, Israel
Weitere Informationen

Publikationsverlauf

Publikationsdatum:
17. März 2008 (online)

Auch verfügbar auf
  als PDF herunterladen  Lizenzen und Reprints

Summary

High compliance balloons, commonly used for pneumatic dilatation of achalasia patients, theoretically subject the widened esophageal wall, proximal to the narrow zone, to increased pressure, and subsequently to a higher risk of perforation. The new type of inelastic cylindrically shaped balloons, such as the Gruntzig-type and Rigiflex Achalasia Dilator, seems to be safer, since it increases esophageal wall tension in the stenotic zone only. The purpose of this study was to present a pathophysiological consideration of this assumption, together with two cases which support it.

Key words:

Esophagus - Achalasia - Balloon dilatation