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Guidelines on the use of oesophageal dilatation in clinical practice
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  • Published on:
    Guidelines on the use of oesophageal dilatation in clinical practice

    Dear Editor

    Drs Riley and Attwood are to be commended for their recent publication.[1] We have difficulty with one recommendation related to dilatation. Under 6.1, it is stated that during oesophageal dilatation that the endoscopist should be supported by at least two endoscopy assistants. We agree that this certainly is desirable when complicated strictures are dialatated or if one is dealing with an achalasi...

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    Conflict of Interest:
    None declared.
  • Published on:
    Treatment of Achalasia: The role of Laparoscopic cardiomyotomy needs to be emphasized
    • Sauid Ishaq
    • Other Contributors:
      • Michael T Hallissey, Mark Deakin

    Dear Editor

    We read with great interest recent guidelines on the use of oesophageal dilatation in clinical practice by Riley and Attwood. In the section on treatment of achalasia the authors recommended pneumatic dilatation as the first line treatment and a graded approach was suggested starting with smallest balloon 3.0 cm and moving to larger balloon size of 3.5 and 4.0 cm if there is an inadequate response wit...

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    Conflict of Interest:
    None declared.