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Published on: August 11, 2023

A National Experience in Paediatric Achalasia: Symptom Recurrence, Reintervention, and Transition Challenges

M Elifranji, W Fadel, M E A Ahmed

    Irish Medical Journal
    |June 25, 2026
    PubMed

    Insights

    Pediatric achalasia interventions offer initial symptom relief but are not curative, necessitating lifelong management and transition to adult care for improved long-term quality of life.

    Area of Science:

    • Pediatric Gastroenterology
    • Surgical Innovation
    • Quality of Life Research

    Background:

    • Esophageal achalasia is a chronic condition requiring long-term management.
    • Interventions aim to alleviate symptoms but may not provide a permanent cure.

    Purpose of the Study:

    • To evaluate the long-term outcomes and quality of life (QOL) in pediatric patients treated for achalasia.
    • To assess the effectiveness of interventions over an 18-year period.

    Main Methods:

    • Retrospective review of 31 pediatric achalasia patients (2006-2024).
    • Analysis of demographics, surgical techniques, and pre/post-intervention Eckardt scores.
    • Post-intervention QOL assessment using Eckardt and Achalasia Scoring Questionnaire (ASQ).

    Main Results:

    • 28 patients analyzed; 75% underwent laparoscopic Heller myotomy.
    • Mean follow-up of 7.6 years; mean pre-op Eckardt score 6.9, post-op 2.9.
    • 57% transitioned to adult care; current mean ASQ score 19.4 (indicating persistent symptoms).

    Conclusions:

    • Achalasia interventions provide initial relief but require ongoing management.
    • Lifelong follow-up and smooth transition to adult care are crucial for QOL.
    • ASQ tool can aid outpatient monitoring of achalasia patients.
    Abstract

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