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Old 11-10-2012
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GIT failed pneumatic dilation in achalasia

what will be next step ?
  • surigcal myotomy
  • botox
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Old 11-10-2012
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You can use botox, however the patient must be told that this is only temporal and he will need reinjections .

I think myotomy would be last resort (at least thats how its put in MTB, I wouldnt know for sure)
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Old 11-10-2012
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Originally Posted by XpaezX View Post
You can use botox, however the patient must be told that this is only temporal and he will need reinjections .

I think myotomy would be last resort (at least thats how its put in MTB, I wouldnt know for sure)
bump... its surgery in mtb 3 and botox in kaplan and mtb2. i guess there shud be a table for differences in these books

in exam, i will pick botox. :sorry:
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Old 11-10-2012
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Originally Posted by tyagee View Post
bump... its surgery in mtb 3 and botox in kaplan and mtb2. i guess there shud be a table for differences in these books

in exam, i will pick botox. :sorry:
Yeah! there are a lot of differences in these books when differences do occur.. I would rather look at what the question asks...
For example is the patient stable? can he undergo surgery? is the question asking about THE MOST DEFINITIVE/BEST/FINAL/AWESOME treatment? is it asking about prompt relief? it all depends really.
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Old 11-10-2012
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Originally Posted by tyagee View Post
what will be next step ?
  • surigcal myotomy
  • botox
Surgical myotomy.

Botox is unlikely to work if pneumatic dilation did not work.
Besides, Surgical myotomy can be done laparoscopically (it is similar to myotomy for pyloric stenosis).
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