Achalasia of the cardia. A Rigiflex balloon was passed under flouroscopic guidance. Initial inflation showed the waist at the level of the lower esophageal sphincter (A:green arrow). Full obliteration of the waist was seen after full inflation (B: green arrow). Our departmental experience is that inflation for 6 seconds is good enough. Pressure was 8psi. No leakage of contrast seen on post dilatation barium swallow (C: green arrows showing area of interest).
Achalasia of the cardia. We used a Rigiflex balloon to dilate it. The first image (A) shows the waist of the balloon at the lower esophageal sphincter. The second image shows obliteration of the waist after balloon dilatation (B). Following dilatation the standard protocol barium swallow showed no leakage of contrast material (C). Dotted green arrows showing the areas of interest.
This 60 year old gentleman had earlier undergone ERCP and stenting for an anastomotic biliary leakage a few months earlier http://ercp365.bl...
