PMID: 9660208Jul 11, 1998Paper

Esophageal function in achalasia: preoperative and postoperative manometric studies

Journal of Pediatric Surgery
Juan A TovarJ Arana

Abstract

Aperistalsis observed in children with achalasia may be secondary to sphincteric spasm or reflect a primary esophageal dysfunction. The aim of this study was to assess manometrically sphincteric function and esophageal motility before and after successful myotomy. Conventional stationary and pull-through manometry were performed preoperatively in 14 patients and postoperatively in 13. Ambulatory 24-hour manometry was carried out in four and eight patients in these two groups, respectively, and the results were compared with those of 23 refluxing youngsters. Sphincter hypertony with lack or incompleteness of relaxation was found preoperatively in all patients, and sphincter pressure decreased dramatically after myotomy in all of them. All patients had aperistalsis preoperatively, and only a few had some primary, but weak, contractions postoperatively. Ambulatory manometry results confirmed a reduced number of motor events even during meals and only insignificant improvement of progressiveness, completeness and amplitude of waves after myotomy irrespective of the time elapsed since the procedure, the degree of recovery of esophageal caliber, and the clinical outcome. Motor disorders in achalasia in children are similar to those o...Continue Reading

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Citations

Sep 6, 2007·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Roger P TatumBrant K Oelschlager
Apr 12, 2008·World Journal of Pediatrics : WJP·Vijay D UpadhyayaS C Gopal
Aug 21, 2002·Journal of Pediatric Gastroenterology and Nutrition·Yvan Vandenplas, Eric Hassall
Oct 31, 2002·Seminars in Pediatric Surgery·Kelly A Miller, George W Holcomb
Jul 22, 2008·Journal of Pediatric Surgery·George VaosConstantinos Skondras
Aug 31, 2001·Journal of Pediatric Surgery·Y VicenteJ A Tovar
May 17, 2000·Journal of Pediatric Surgery·C EspositoP Montupet
Jan 13, 2000·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·S J WalkerN Birbeck
Apr 22, 2014·Pediatric Gastroenterology, Hepatology & Nutrition·Jeana Hong
Jun 23, 2011·Journal of Pediatric Gastroenterology and Nutrition·Claudio Morera, Samuel Nurko
Jul 9, 2008·Journal of Pediatric Gastroenterology and Nutrition·Licia Pensabene, Samuel Nurko

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