Video Tip: Endoscopic Pneumatic Dilation for Achalasia | September 2023-Video Tip: Endoscopic Pneumatic Dilation for Achalasia

Video Transcription

Video Summary

In this sponsored ASG video tip, Bernice Pereira discusses endoscopic pneumatic dilation for akalasia. She provides an overview of the different types of akalasia and the corresponding treatment options. Pneumatic dilation involves stretching the low esophageal muscle fibers to improve symptoms. Patient selection is important, with certain demographics and characteristics better predicting a positive response to this procedure. Pereira explains the technique, including patient preparation, equipment needed, and the steps involved in the dilation process. Post-treatment considerations, such as monitoring for complications and determining further treatment if symptoms persist, are also discussed. Pneumatic dilation is most effective for type 1 or type 2 akalasia, with type 3 benefiting more from POEMS. Thoracic surgical backup and the ability to place esophageal stents in case of perforation are necessary. If there is no response after three balloon treatments, repeating the procedure can be considered. If symptoms persist for 6 to 12 months, referral for a POEM or myotomy is an option.

Keywords