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Fifty-eight contrast studies of the oesophagus, performed in patients shortly after balloon dilatation for the treatment of achalasia, were reviewed for evidence of perforation. Forty-nine examinations (85%) were normal and nine studies (15%) were abnormal. Three main radiological patterns were observed. Complete rupture of the oesophagus occurred in two cases. Incomplete tears of the oesophageal wall were present in seven cases: in one patient there was a linear mucosal tear while in six patients there was a localised outpouch or diverticulum. All patients with abnormal contrast studies were successfully managed conservatively. The range of radiological appearances of the distal oesophagus following balloon dilatation should be recognised to avoid unnecessary surgical intervention.
H Adams, and
G M Roberts, and
P M Smith
November 1992,
Clinical radiology,
H Adams, and
G M Roberts, and
P M Smith
July 1996,
Gut,
H Adams, and
G M Roberts, and
P M Smith
January 1991,
The European journal of surgery = Acta chirurgica,
H Adams, and
G M Roberts, and
P M Smith
December 1995,
The Medical journal of Malaysia,
H Adams, and
G M Roberts, and
P M Smith
January 1986,
AJR. American journal of roentgenology,
H Adams, and
G M Roberts, and
P M Smith
September 1980,
The Medical journal of Australia,
H Adams, and
G M Roberts, and
P M Smith
January 1991,
Annales chirurgiae et gynaecologiae,
H Adams, and
G M Roberts, and
P M Smith
January 1983,
The Annals of otology, rhinology, and laryngology,
H Adams, and
G M Roberts, and
P M Smith
January 1975,
Revista medico-chirurgicala a Societatii de Medici si Naturalisti din Iasi,
H Adams, and
G M Roberts, and
P M Smith
March 1989,
Presse medicale (Paris, France : 1983),
