Dr Sofia Sandal, Dr Sheharyar Hassan Khan, Dr Areeba Riasat Nahra
Objective: The objective of this prospective research is to examine the magnitude of efficacy and safety while conducting pneumatic dilatation of PAC (Primary Achalasia Cardia) without the provision of conscious sedation and also to assess endoscopic signs of “balloon waist” effacement. The said process is trended giving conscious sedation in the presence of endoscopic (ante-grade) guidance. Methodology: The prospective research was performed successfully on subject size of 23 patients with the mean age of (40.54) years. Conscious sedation was not given while conducting diagnosis of radiologic and endoscopic Primary Achalasia Cardia. Results: Symptoms were immediately removed in 90% (21) patients when observed with balloon ‘waist’ effacement when observed through endoscopic vision. All the patients experienced chest pain and only 66% (15) patients were observed with mild bleeding. 6% (2) cases required dilatation again. Follow-up was scheduled from 6 weeks to 23 months. Conclusions: It is very safe performing pneumatic dilatation of Primary Achalasia Cardia with no conscious sedation. Effacement of the ‘waist’ of the balloon can be observed by EASL (Endoscopic Assessment of stretch on the lower oesophageal Sphincter) ante-grade. Keywords: Pneumatic Dilatation, Conscious Sedation, Lower Oesophageal Sphincter, Oesophageal Sphincter, Upper Gastrointestinal Endoscopy.