Abstract: (6773 Views)
Seventy-one patients with achalasia were studied. They were 2-29 years old. Dysphagia to solid food was the main presenting symptom (100 percent). Reliable and persistent manometric findings were absence of normal contraction waves in association with the presence of low amplitudes simultaneous waves in all cases. In vigorous achalasia, weight loss (P=0.001), dysphagia (P=0.012) and LES pressures (P=0.01) were significantly different in comparison to classic achalasia. Manometry was done in 18 patients who were treated with pneumatic dilation. LES pressure (P=0.003) and esophageal basal pressures were significantly dropped one month after pneumatic dilation (P=0.01). Normal contraction wave did not appeare in any of treated cases.