Effect of Pneumatic Balloon Dilation to The Changes of Eckardt Score in Patient With Achalasia

Budi Widodo, Iswan Abbas Nusi, Titong Sugihartono

= http://dx.doi.org/10.20473/bhsj.v3i1.17938
Abstract views = 271 times | downloads = 155 times

Abstract


Introduction: Achalasia is an esophageal motility disorder, but its pathogenesis remains unclear. The highest incidence is among adults aged 30 – 60 years with the prevalence of 10/100.000 population. Diagnosis of achalasia is based on symptoms and upper endoscopy, barium esophagogram, and esophageal manometry. Pneumatic Balloon Dilation (PBD) is one of the treatment options, whether it is fluoroscopy-guided or direct endoscopy guided. This study aims to analyze the effect of PBD on the changes of Eckardt score among achalasia patients.
Methods: An analytical observational study with a retrospective and prospective design was conducted on 18 achalasia patients who performed PBD at Dr. Soetomo General Hospital. Data were then analyzed using t-test.
Results: The mean age was 47.8±12.5 years, and the mean achalasia duration was 18.3±5.9 months. There were no differences of achalasia cases between men and women. The mean body weight in the pre and post PBD was 50.9±6.2 vs 53.1±6.5 kg with delta 2.19±1.88 (p <0.0001). The mean BMI in the pre and post PBD was 20.2±2.2 vs 21.1±2.5 kb/m2 with delta 0.89±0.78 (p <0.0001). In addition, the mean Eckardt score in the pre and post PBD was 10.17±1.47 vs 2.5±0.86 (p <0.0001). There were 3 patients with Eckardt score of 4 after PBD and no weight loss after one-month evaluation.
Conclusion: There was a significant difference of Eckardt score before and after PBD. The improvement of the Eckardt scores led to the change of weight and body mass index among achalasia patients.

Keywords


Eckardt score, pneumatic balloon dilatation, achalasia

Full Text:

PDF

References


Spechler SJ. American Gastroenterological Association medical position statement on treatment of patients with dysphagia caused by benign disorders of the distal esophagus. Gastroenterology. 1999;117(1):229–32.

Francis DL, Katzka DA. Achalasia: Update on the Disease and Its Treatment. Gastroenterology. 2010;139(2):369-374.e2.

Sadowski DC, Ackah F, Jiang B, Svenson LW. Achalasia: incidence, prevalence and survival. A population-based study. Neurogastroenterology & Motility. 2010 Sep 1;22(9):e256–61.

Setiati S, Alwi I, Sudoyo AW, Simadibrata M, Setiyohadi B, Syam AF. Buku ajar ilmu penyakit dalam. Jakarta: Interna Publishing; 2006.

Dogan I, Mittal RK. Esophageal motor disorders: recent advances. Current Opinion in Gastroenterology. 2006;22(4).

Patti MG, Gorodner M V, Galvani C, Tedesco P, Fisichella PM, Ostroff JW, et al. Spectrum of Esophageal Motility Disorders: Implications for Diagnosis and Treatment. Archives of Surgery. 2005 May 1;140(5):442–9.

Kessing BF, Bredenoord AJ, Smout AJPM. Erroneous Diagnosis of Gastroesophageal Reflux Disease in Achalasia. Clinical Gastroenterology and Hepatology. 2011;9(12):1020–4.

Eckardt AJ, Eckardt VF. Treatment and surveillance strategies in achalasia: an update. Nature Reviews Gastroenterology & Hepatology. 2011;8(6):311–9.

Boeckxstaens GE, Annese V, Varannes SBD, Chaussade S, Costantini M, Cuttitta A, et al. Pneumatic dilation versus laparoscopic Heller’s myotomy for idiopathic achalasia. New England Journal of Medicine. 2011;364(19):1807–16.

Levine ML, Dorf BS, Moskowitz G, Bank S. Pneumatic dilatation in achalasia under endoscopic guidance: correlation pre-and postdilatation by radionuclide scintiscan. American Journal of Gastroenterology. 1987;82(4).

Bravi I, Nicita MT, Duca P, Grigolon A, Cantù P, Caparello C, et al. A pneumatic dilation strategy in achalasia: prospective outcome and effects on oesophageal motor function in the long term. Alimentary pharmacology & therapeutics. 2010;31(6):658–65.

Wang H-M, Tai W-C, Chuah S-K, Lu H-I, Lu L-S, Liang C-M, et al. Comparison of treatment outcomes of endoscope-guided pneumatic dilation and laparoscopic Heller myotomy. The Kaohsiung Journal of Medical Sciences. 2015 Dec 1;31(12):639–43.

Rai RR, Shende A, Joshi A, Mathur A, Nijhawan S. Rigiflex pneumatic dilation of achalasia without fluoroscopy: a novel office procedure. Gastrointestinal Endoscopy. 2005;62(3):427–31.


Refbacks

  • There are currently no refbacks.




Copyright (c) 2020 Biomolecular and Health Science Journal

INDEXING BY:

Creative Commons License

This Journal (E-ISSN:2620-8636) is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

View BHSJ Stats