Endoscopic Controlled Radial Expansion Balloon Dilatation in Infantile Achalasia: A Case Series of Four Infants
These videos have been matched automatically. Contact us if they are not relevant.
These videos have been matched automatically. Contact us if they are not relevant.
View abstract on PubMed
Summary
This summary is machine-generated.Infantile achalasia, a rare esophageal disorder, presents diagnostic challenges. Controlled radial expansion (CRE) balloon dilatation offers a safe and effective treatment, with 75% of infants showing significant improvement.
Area Of Science
- Pediatric Gastroenterology
- Esophageal Motility Disorders
- Pediatric Endoscopy
Background
- Achalasia cardia is an uncommon esophageal motility disorder often misdiagnosed as GERD.
- Infantile achalasia presents unique diagnostic and therapeutic challenges due to symptom overlap and difficulties with standard diagnostic tools.
- Allgrove (Triple-A) syndrome, though rare, must be considered in the differential diagnosis.
Purpose Of The Study
- To describe the diagnostic and therapeutic approach to infantile achalasia.
- To evaluate the efficacy and safety of controlled radial expansion (CRE) balloon dilatation in infants with achalasia cardia.
- To highlight the role of timed barium esophagogram (TBE) in diagnosis.
Main Methods
- Case series of four infants diagnosed with achalasia cardia based on TBE findings.
- Exclusion of congenital esophageal stenosis through endoscopic and radiologic evaluation.
- Serial CRE balloon dilatation performed under endoscopic vision for lower esophageal sphincter (LES) obstruction.
Main Results
- Three out of four (75%) infants experienced marked clinical improvement after CRE balloon dilatation.
- Infants remained symptom-free at a median follow-up of 4.5 months.
- The procedure was uneventful, demonstrating safety and feasibility.
Conclusions
- Infantile achalasia is diagnostically challenging but TBE is a key diagnostic tool.
- Endoscopic CRE balloon dilatation is a safe, minimally invasive, and effective treatment for infantile achalasia.
- Sustained symptom remission and nutritional recovery support the clinical value of CRE balloon dilatation.
These videos have been matched automatically. Contact us if they are not relevant.
These videos have been matched automatically. Contact us if they are not relevant.