KROUPA, Radek, Aleš HEP, Jiří DOLINA, Vlastimil VÁLEK, Zuzana MATYÁŠOVÁ, Jitka PROKEŠOVÁ, Jaroslav SEDMÍK and Ivo NOVOTNÝ. Combined treatment of achalasia - botulinum toxin injection followed by pneumatic dilatation: long-term results. Diseases of the Esophagus. Wiley blackwell, 2010, vol. 23, No 2, p. 100-105. ISSN 1120-8694.
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Basic information
Original name Combined treatment of achalasia - botulinum toxin injection followed by pneumatic dilatation: long-term results
Authors KROUPA, Radek (203 Czech Republic, guarantor, belonging to the institution), Aleš HEP (203 Czech Republic, belonging to the institution), Jiří DOLINA (203 Czech Republic, belonging to the institution), Vlastimil VÁLEK (203 Czech Republic, belonging to the institution), Zuzana MATYÁŠOVÁ (203 Czech Republic), Jitka PROKEŠOVÁ (203 Czech Republic, belonging to the institution), Jaroslav SEDMÍK (203 Czech Republic, belonging to the institution) and Ivo NOVOTNÝ (203 Czech Republic, belonging to the institution).
Edition Diseases of the Esophagus, Wiley blackwell, 2010, 1120-8694.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30200 3.2 Clinical medicine
Country of publisher Czech Republic
Confidentiality degree is not subject to a state or trade secret
Impact factor Impact factor: 1.536
RIV identification code RIV/00216224:14110/10:00043346
Organization unit Faculty of Medicine
UT WoS 000274622100003
Keywords in English achalasia - botulinum toxin- pneumatic dilatatation- therapy
Tags International impact
Changed by Changed by: doc. MUDr. Radek Kroupa, Ph.D., učo 19316. Changed: 10/1/2011 13:54.
Abstract
Injection of botulinum toxin (BT) and pneumatic dilatation are available methods in nonsurgical treatment of achalasia. Authors anticipate beneficial effect of prior BT injection on the success of pneumatic dilatation and duration of its effect. There are no long-term data available to assess efficacy of combined treatment.Result of prospective study on 51 consecutive patients treated by comination method are presented. The cumulative 5 years remission rate in combined treated patients 69% was higher than in controls 50%; however it, was not statistically significant (P = 0.07). Eight patients (17%) with relapse of dysphagia were referred to laparoscopic Heller myotomy with no surgical complication.Initial injection of BT followed by PD seems to be effective for long-term results with fewer complications. But the combined therapy is not significantly superior to PD alone.
Links
2B06060, research and development projectName: Zefektivnění diagnostiky a léčby gastroezofageální refluxní choroby jícnu (Acronym: NPVII11002)
Investor: Ministry of Education, Youth and Sports of the CR
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