Bourgeois N, Coffernils M, Buset M, Gelin M, Deltenre M, Panzer J M, Cremer M
Medico Surgical Department of Gastroenterology, Hopital Erasme, Bruxelles, Belgium.
Dig Dis Sci. 1991 Mar;36(3):268-73. doi: 10.1007/BF01318194.
Fifty-three patients suffering from dysphagia because of suspected esophageal motor disorders were treated by pneumatic dilatation using the Rider-Moeller technique. Fifteen had achalasia demonstrated by manometric studies. Forty-nine of them had remarkable clinical improvement after the procedure. During the mean period of follow-up (average 5 years, range 1-11), 75% of the patients needed a new dilatation, with a delay of two years. The results of the dilatation were excellent or good in 80% of the cases. Early complications consisted in two esophageal perforations surgically treated. There was no mortality. We did not observe late complications of the procedure. We conclude that pneumatic dilatation should be the initial procedure in the treatment of dysphagia in suspected esophageal motor disorders.
53例因疑似食管运动障碍而吞咽困难的患者采用里德-默勒技术进行了气囊扩张治疗。经测压研究证实15例为贲门失弛缓症。其中49例在手术后有显著的临床改善。在平均随访期（平均5年，范围1 - 11年）内，75%的患者需要再次扩张，间隔时间为两年。80%的病例扩张效果为优或良。早期并发症包括2例食管穿孔，经手术治疗。无死亡病例。我们未观察到该手术的晚期并发症。我们得出结论，气囊扩张应作为疑似食管运动障碍所致吞咽困难治疗的初始方法。
