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.

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