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[Esophageal achalasia in children (analysis of five cases)]
C Winnicki1, D Celińska-Cedro, A Cedro
1Oddziału Gastroeneterologii Centrum Zdrowia Dziecka w Warszawie.
Insights
Pediatric oesophageal achalasia, rare in children, was treated with pneumatic dilatation. While some patients improved, others required surgery, highlighting varied treatment outcomes for this condition.
Area of Science:
- Pediatric Gastroenterology
- Gastrointestinal Motility Disorders
- Surgical Gastroenterology
Abstract:
Oesophageal achalasia is a disease of middle age and is only exceptionally observed in children. Five patients aged from 6.5 to 14 years were treated for this achalasia. Routine therapeutic method was repeated pneumatic dilatation of the cardia with a Rider-Moeller dilator. In all, 33 such procedures were carried out without complications. Very good results were obtained in 2 cases already after 3 dilatation procedures. The remaining 3 cases required surgical intervention: in 2 of them esophagomyotomy with antireflux operation was done with a very good result in one case and a good result in another case. The child not treated surgically (lack of parental consent) has still most signs of achalasia with body weight below the 3 centile and with recurrent respiratory infections. The follow-up is from 5 to 66 months.