Abstract

Introduction/Aim: Endoscopic balloon dilation for achalasia or hypertensive lower esophageal sphincter (HLES) is often performed under fluoroscopic control, however not always required. Our aim was evaluation of feasibility, safety and efficiency of a balloon dilation procedure using exclusive control by a gastroscope placed in a parallel direction, 2 or 3 cm above the proximal end of the dilation balloon. Patients and Methods: 25 balloon dilations sessions were performed without fluoroscopy, between 12.2003 and 4.2008, in 23 patients (M: 7 - F: 16 - mean age: 59.5 - range: 18-86), for symptomatic achalasia (n=19) or HLES (n=4).

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