Esophageal achalasia of unknown etiology in infants.

World Journal of Pediatrics : WJP
Vijay D UpadhyayaS C Gopal

Abstract

Achalasia cardia is an uncommon disease in children particularly in infants. We present 8 cases of achalasia who were encountered over a 12-year period. In infantile achalasia, respiratory symptoms predominate and vomiting may easily be mistaken for gastroesophageal reflux (GER). Vomiting of uncurdled milk is characteristic of achalasia. In this retrospective study, the data were obtained from records of the Department of Pediatric Surgery IMS, BHU Varanasi, India. The patients were diagnosed by clinical examination and barium study. Any other associated anomalies were noted in these patients. The patients underwent esophagocardiomyotomy with antireflux procedure via the abdominal route. In the present series, 7 patients survived. The follow-up study after operation showed remarkable relief of symptoms with satisfactory weight gain. No post-operative death occurred in the patients. Achalasia associated with alacrimia was noted in one infant who was lost to follow up. One infant was initially diagnosed as having gastric volvulus, but exploration revealed achalasia cardia. Esophageal achalasia is a rare disease in children and its origin is generally indeterminable. Achalasia cardia should be emphasized in the differential diagno...Continue Reading

References

Dec 13, 1997·Journal of Pediatric Surgery·G PorrasJ D Porras
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Citations

Jan 1, 2012·The Journal of IMA·Souvik ChatterjeeSukanta Kumar Das
Aug 6, 2009·Journal of Medical Toxicology : Official Journal of the American College of Medical Toxicology·Daniel Lugassy, Lewis Nelson
May 28, 2019·Current Treatment Options in Pediatrics·Lusine AmbartsumyanRachel Rosen

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