Intrasphincteric Botulinum Toxin for the Treatment of Achalasia
Pasricha P, Ravich W, Hendrix T, Sostre S, Jones B, Kalloo A. Intrasphincteric Botulinum Toxin for the Treatment of Achalasia. New England Journal Of Medicine 1995, 332: 774-778. PMID: 7862180, DOI: 10.1056/nejm199503233321203.Peer-Reviewed Original ResearchConceptsLower esophageal sphincterEsophageal sphincterBotulinum toxinPlacebo groupMean decreaseSymptom scoresTreatment groupsMean increaseDisorders of swallowingIntrasphincteric botulinum toxinDouble-blind trialTreatment of achalasiaMonths 14 patientsSerious adverse effectsSymptomatic improvementEsophageal retentionParalytic agentsScintigraphic studiesEsophageal scintigraphySphincterAchalasiaPatientsAdverse effectsPlaceboMonths