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Pneumatic balloon dilatation versus laparoscopic Heller's myotomy in idiopathic achalasia
Background Both laparoscopic Heller's myotomy (LHM) and pneumatic balloon dilatation (PBD) are widely used in the management of achalasia, but there is still no clarity as to which of these interventions is the best treatment for patients with the condition. Methods Newly diagnosed achalasia pati...
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| Format: | Thesis |
| Language: | English |
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Department of Public Health and Family Medicine
2016
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| _version_ | 1867613299061817344 |
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| access_status_str | Open Access |
| author | Hlatshwayo, Sabelo Jabulani |
| author2 | Myer, Landon |
| author_browse | Hlatshwayo, Sabelo Jabulani Myer, Landon |
| author_facet | Myer, Landon Hlatshwayo, Sabelo Jabulani |
| author_sort | Hlatshwayo, Sabelo Jabulani |
| collection | Thesis |
| description | Background Both laparoscopic Heller's myotomy (LHM) and pneumatic balloon dilatation (PBD) are widely used in the management of achalasia, but there is still no clarity as to which of these interventions is the best treatment for patients with the condition. Methods Newly diagnosed achalasia patients were randomised into PBD or LHM. The severity of achalasia symptoms in all participants was documented using the Eckardt score, a clinical symptom score whose components are dysphagia, chest pain, regurgitation and weight loss. The Eckardt score ranges from 0 in those with no symptoms to 12 in patients with pronounced symptoms. The primary outcome, therapeutic success, was defined as a drop in the Eckardt score to <3 or subsequent need for alternative intervention. The secondary outcome was the complication rate, including mortality, in the two treatment arms. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/19905 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:33:55.830Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2016 |
| publishDateRange | 2016 |
| publishDateSort | 2016 |
| publisher | Department of Public Health and Family Medicine |
| publisherStr | Department of Public Health and Family Medicine |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/19905 Pneumatic balloon dilatation versus laparoscopic Heller's myotomy in idiopathic achalasia Hlatshwayo, Sabelo Jabulani Myer, Landon Thomson , Sandie Setshedi, Mashiko Public Health Background Both laparoscopic Heller's myotomy (LHM) and pneumatic balloon dilatation (PBD) are widely used in the management of achalasia, but there is still no clarity as to which of these interventions is the best treatment for patients with the condition. Methods Newly diagnosed achalasia patients were randomised into PBD or LHM. The severity of achalasia symptoms in all participants was documented using the Eckardt score, a clinical symptom score whose components are dysphagia, chest pain, regurgitation and weight loss. The Eckardt score ranges from 0 in those with no symptoms to 12 in patients with pronounced symptoms. The primary outcome, therapeutic success, was defined as a drop in the Eckardt score to <3 or subsequent need for alternative intervention. The secondary outcome was the complication rate, including mortality, in the two treatment arms. 2016-06-02T08:48:55Z 2016-06-02T08:48:55Z 2015 Master Thesis Masters MPH http://hdl.handle.net/11427/19905 eng application/pdf Department of Public Health and Family Medicine Faculty of Health Sciences University of Cape Town |
| spellingShingle | Public Health Hlatshwayo, Sabelo Jabulani Pneumatic balloon dilatation versus laparoscopic Heller's myotomy in idiopathic achalasia |
| thesis_degree_str | Master's |
| title | Pneumatic balloon dilatation versus laparoscopic Heller's myotomy in idiopathic achalasia |
| title_full | Pneumatic balloon dilatation versus laparoscopic Heller's myotomy in idiopathic achalasia |
| title_fullStr | Pneumatic balloon dilatation versus laparoscopic Heller's myotomy in idiopathic achalasia |
| title_full_unstemmed | Pneumatic balloon dilatation versus laparoscopic Heller's myotomy in idiopathic achalasia |
| title_short | Pneumatic balloon dilatation versus laparoscopic Heller's myotomy in idiopathic achalasia |
| title_sort | pneumatic balloon dilatation versus laparoscopic heller s myotomy in idiopathic achalasia |
| topic | Public Health |
| url | http://hdl.handle.net/11427/19905 |
| work_keys_str_mv | AT hlatshwayosabelojabulani pneumaticballoondilatationversuslaparoscopichellersmyotomyinidiopathicachalasia |