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Cricopharyngeal achalasia responsive to balloon dilation in an infant
Dereck Davis1, Michael Nowicki, Henry Giles
1Department of Pediatrics, Division of Pediatric Gastroenterology, University of Mississippi Medical Center, Jackson, MS 39216, USA.
Insights
Cricopharyngeal achalasia, a rare cause of infant vomiting and weight loss, was successfully treated with balloon dilation. This intervention restored normal growth and resolved symptoms in a pediatric patient.
Area of Science:
- Pediatric Gastroenterology
- Otolaryngology
- Esophageal Motility Disorders
Background:
- Cricopharyngeal achalasia is a rare esophageal motility disorder.
- It presents with significant challenges in infant feeding and growth.
Observation:
- An infant presented with severe vomiting and failure to thrive.
- Symptoms were attributed to cricopharyngeal achalasia, a condition rarely diagnosed in pediatric populations.
Findings:
- The infant demonstrated a positive response to balloon dilation of the upper esophageal sphincter.
- This minimally invasive procedure led to complete symptom resolution.
Implications:
- Balloon dilation offers a viable treatment for pediatric cricopharyngeal achalasia.
- Effective management can restore normal growth and improve quality of life in affected infants.
Abstract:
This report describes an infant with vomiting and significant weight loss attributable to cricopharyngeal achalasia, a rare finding in children. The infant responded to balloon dilation of the upper esophageal sphincter, with resolution of symptoms and return to presymptomatic growth parameters. A brief description of the clinical features, diagnostic evaluation, and treatment options for cricopharyngeal achalasia is included.
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