Sign up for your free ClinicalKey trial today! Your first step in getting the right answers
when you need them.
Complications and Prognosis
Treatment is palliative and may consist of pharmacotherapy or endoscopic or surgical procedures aimed at reducing tone of lower esophageal sphincter r3
Intraluminal dilation of lower esophageal sphincter typically using a nonradiopaque polyethylene balloon guided by fluoroscopy or endoscopy r3
Serial dilation is recommended beginning with dilation using 3-cm balloon followed by assessment and a 3.5-cm dilation if necessary at 2 to 6 weeks, with a subsequent 4-cm dilation if there is insufficient relief r3r32
Presents small risk of esophageal perforation; therefore, perform the procedure only in patients who are candidates for surgery and in an institution in which surgical intervention is available
Patients should seek immediate medical attention if they experience severe chest pain after pneumatic dilation because it is a symptom of delayed esophageal perforation
Routine gastrografin esophagogram no longer recommended after dilation; gastrografin or barium esophagogram and/or CT scan of abdomen and chest is reserved for patients with a clinical suspicion for perforation r3
Cookies are used by this site. To decline or learn more, visit our cookie notice.