Pneumatic Dilation in Geriatric Achalasia Patients

Background: The aim of the study was to share the effectiveness of pneumatic dilation in geriatric achalasia patients. Methods: Achalasia patients over the age of 65 and those under the age of 65 as the control group who received pneumatic dilation as the first-line treatment were evaluated in the s...

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Published in:The Turkish Journal of Gastroenterology 2023-04, Vol.34 (4), p.332-338
Main Authors: Tenlik, Ilyas, Ozturk, Omer, Ozin, Yasemin, Ari, Derya, Coskun, Orhan, Gokce, Dilara Turan, Gokbulut, Volkan, Goktas, Zeynep, Kilic, Zeki Mesut Yalin
Format: Article
Language:English
Subjects:
Achalasia
Aged patients
Care and treatment
Endoscopy
GASTROINTESTINAL TRACT
Methods
Original
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Summary:Background: The aim of the study was to share the effectiveness of pneumatic dilation in geriatric achalasia patients. Methods: Achalasia patients over the age of 65 and those under the age of 65 as the control group who received pneumatic dilation as the first-line treatment were evaluated in the study. Results: The average age of geriatric patients was 72.5 [+ or -] 55.92 years (65-90), with 50.3% of them being male. Follow-up was conducted for a mean of 64.52 [+ or -] 38.73 months. While pneumatic dilation was successful in 98.6% (141/143) of geriatric patients, it was also successful in 94% (141/150) of non-geriatric patients. Remission after single balloon dilatation was observed in 81.8% of geriatric patients, while it was observed in only 52.7% of non-geriatric patients (P = .000). When comparing remission after single dilatation and multiple dilatations, it was observed that geriatric patients who achieved remission after multiple balloon dilatation had higher lower esophageal sphincter pressure and Eckardt scores at the diagnosis and higher lower esophageal sphincter pressure and esophageal body resting pressures after the first balloon dilatation. Conclusions: The proportion of elders in the world population is increasing daily and this disease has been known to disproportionately afflict this group. Although surgical treatments, in particular per-oral endoscopic myotomy, have recently gained popularity as therapies for achalasia, pneumatic dilation remains the most commonly used in geriatric patients. Keywords: Achalasia, geriatrics, pneumatic dilatation
ISSN:1300-4948
2148-5607
DOI:10.5152/tjg.2023.22178