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Related Experiment Videos

Cricopharyngeal dysfunction associated with Chiari malformations.

P E Putnam1, S R Orenstein, D Pang

  • 1Department of Pediatrics, Children's Hospital of Pittsburgh, University of Pittsburgh School of Medicine, PA 15213-2583.

Pediatrics
|May 1, 1992
PubMed
Summary
This summary is machine-generated.

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Chiari malformation can cause dysphagia due to upper esophageal sphincter (UES) dysfunction. Surgical decompression resolved UES issues in young patients, improving swallowing function.

Area of Science:

  • Neurology
  • Gastroenterology
  • Pediatric Surgery

Background:

  • Dysphagia in children can be linked to Chiari malformation.
  • Upper esophageal sphincter (UES) dysfunction is a potential cause of this dysphagia.

Purpose of the Study:

  • To evaluate the impact of craniocervical decompression on UES dysfunction in children with Chiari malformation.
  • To assess the effectiveness of surgical intervention for dysphagia associated with Chiari malformation.

Main Methods:

  • Esophageal manometry and barium esophagography were used to assess UES function before and after surgery.
  • Five young children with dysphagia and Chiari malformation were studied.

Main Results:

  • Preoperatively, UES dysfunction (impaired relaxation, incoordination) was identified in all patients via manometry.

Related Experiment Videos

  • Postoperatively, all patients showed clinical and manometric resolution of UES dysfunction.
  • While manometry showed improvement, barium swallows revealed persistent abnormalities in some patients, though without functional impact.
  • Conclusions:

    • Craniocervical decompression for Chiari malformation can effectively resolve dysphagia caused by UES dysfunction.
    • Esophageal manometry is a more sensitive tool than barium swallow for detecting UES abnormalities and monitoring postoperative improvement.