Proferation during dilatation

[Guest guest]

Hi,

Hope everyone is doing great. I have a confusion regarding the possible

complications of dilatation i.e. do we have anyone who experienced peroforation

during the dilatation process? If yes, what happened next - surgery? I have

heard the peroforation could also be healed through medicines, and if not, then

a surgery is required. Is it true that second dilatation has more risks as

compared to the first one? Any help in this would be appreciated

Thanks

Hassaan

[Guest guest]

HI Hassan,

 

It has been said that there is a perforation rate of about 4% (or 1 in 25), far

greater than the chances of getting achalasia in the first place (1 in 100,000,

or out of a population of 100,000, there will be one new case per year).  So,

the 1 in 25 is very real, and people contributing to this Board have experienced

it.  Depending upon the surgeon, depending upon the severity, the method of

correcting the problem has been approached by different means, that is to say,

by surgery, by medication (possibly), and if not that severe, by simply allowing

it to heal. There is no answer that can fit all situations (unless the surgeon

you have always does surgery to repair). To take your question to the next

level, you must address the surgeon.

 

 

From: Hassaan Tariq <hassaan_st@...>

Subject: Proferation during dilatation

achalasia

Date: Tuesday, September 20, 2011, 4:19 AM

 

Hi,

Hope everyone is doing great. I have a confusion regarding the possible

complications of dilatation i.e. do we have anyone who experienced peroforation

during the dilatation process? If yes, what happened next - surgery? I have

heard the peroforation could also be healed through medicines, and if not, then

a surgery is required. Is it true that second dilatation has more risks as

compared to the first one? Any help in this would be appreciated

Thanks

Hassaan

[Guest guest]

The reported incidence of esophageal perforation is about 4% but again it

depends upon the experience of the GI doing it. Prof. Castell O' in South

Carolina claims his perforation rate is about 1% which is acceptable.

anil

achalasia

From: cynmark24@...

Date: Tue, 20 Sep 2011 07:26:43 -0700

Subject: Re: Proferation during dilatation

HI Hassan,

It has been said that there is a perforation rate of about 4% (or 1 in 25), far

greater than the chances of getting achalasia in the first place (1 in 100,000,

or out of a population of 100,000, there will be one new case per year). So,

the 1 in 25 is very real, and people contributing to this Board have experienced

it. Depending upon the surgeon, depending upon the severity, the method of

correcting the problem has been approached by different means, that is to say,

by surgery, by medication (possibly), and if not that severe, by simply allowing

it to heal. There is no answer that can fit all situations (unless the surgeon

you have always does surgery to repair). To take your question to the next

level, you must address the surgeon.

From: Hassaan Tariq <hassaan_st@...>

Subject: Proferation during dilatation

achalasia

Date: Tuesday, September 20, 2011, 4:19 AM

Hi,

Hope everyone is doing great. I have a confusion regarding the possible

complications of dilatation i.e. do we have anyone who experienced peroforation

during the dilatation process? If yes, what happened next - surgery? I have

heard the peroforation could also be healed through medicines, and if not, then

a surgery is required. Is it true that second dilatation has more risks as

compared to the first one? Any help in this would be appreciated

Thanks

Hassaan