{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T22:37:28Z","timestamp":1773268648204,"version":"3.50.1"},"reference-count":11,"publisher":"BMJ","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gut"],"published-print":{"date-parts":[[1983,11]]},"abstract":"<jats:p>To assess the value of pneumatic dilatation of the cardia, 63 patients with achalasia have undergone a total of 107 Rider-Moeller dilatations over the last six years. There was a marked improvement in swallowing immediately after dilatation in all but two patients, there were no deaths attributable to the procedure and serious complications were rare (1.6% of patients). The first 50 cases have been followed from nine to 73 months after their initial dilatation (mean follow-up 29.7 months). Twenty nine patients (58%) have not required a further dilatation, 19 patients (38%) required between one and three further dilatations and two patients (4%) required four more dilatations. Continuing need for further dilatation was significantly greater in those patients aged under 45 years than in those aged 45 or more at the time of their initial dilatation (p less than 0.001). Cardiomyotomy was necessary in five patients (10%), because of poor response to pneumatic dilatation; all five cases were under 45 years old at their initial dilatation. Pneumatic dilatation is a safe and effective treatment for achalasia, particularly in the older patient, and in our opinion should be the initial treatment for all patients with achalasia, reserving surgical cardiomyotomy for those who do not respond to several dilatations.<\/jats:p>","DOI":"10.1136\/gut.24.11.1020","type":"journal-article","created":{"date-parts":[[2007,9,18]],"date-time":"2007-09-18T17:41:31Z","timestamp":1190137291000},"page":"1020-1023","source":"Crossref","is-referenced-by-count":99,"title":["Pneumatic dilatation in achalasia."],"prefix":"10.1136","volume":"24","author":[{"given":"I W","family":"Fellows","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A L","family":"Ogilvie","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Atkinson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[1983,11,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1016\/0016-5085(80)90090-6","article-title":"Treatment of achalasia and related motor disorders","volume":"79","author":"Vantrappen, G.; Hellemans, J.","year":"1980","unstructured":"Vantrappen G, Hellemans J. Treatment of achalasia and related motor disorders. Gastroenterology 1980; 79: 144-54.","journal-title":"Gastroenterology"},{"issue":"99","key":"ref_2","first-page":"435","article-title":"Diagnosis and treatment of diffuse oesophageal spasm","volume":"1969","author":"Rider, J.A.; Moeller, H.C.; Puletti, E.J.; Desai, D.C.","unstructured":"Rider JA, Moeller HC, Puletti EJ, Desai DC. Diagnosis and treatment of diffuse oesophageal spasm. Arch Surg 1969; 99: 435-40.","journal-title":"Arch Surg"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1001\/archinte.1976.03630050009004","article-title":"Instrumentation and methods for intraluminal oesophageal manometry","volume":"136","author":"Dodds, W.J.","year":"1976","unstructured":"Dodds WJ. Instrumentation and methods for intraluminal oesophageal manometry. 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Oesophagomyotomy versus forceful dilatation for achalasia of the oesophagus: results in 899 patients. Ann Thorac Surg 1979; 28: 119-25.","journal-title":"Ann Thorac Surg"},{"key":"ref_8","first-page":"672","article-title":"An uncontrolled comparison of treatments for achalasia","volume":"182","author":"Yon, J.; Christensen, J.","year":"1975","unstructured":"Yon J, Christensen J. An uncontrolled comparison of treatments for achalasia. Ann Surg 1975; 182: 672-6."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1136\/thx.33.5.569","article-title":"The anti-reflux mechanism after cardiomyotomy","volume":"33","author":"Lobello, R.; Edwards, D.A.W.; Gummer, J.W.P.; Stekelman, M.","year":"1978","unstructured":"Lobello R, Edwards DAW, Gummer JWP, Stekelman M. The anti-reflux mechanism after cardiomyotomy. 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