Related Experiment Videos
Childhood achalasia--a case report
K K Patil1, A Telmesani, O A Ogunbiyi
1Department of Paediatric Surgery, Assir Central Hospital, Abha, Kingdom of Saudi Arabia.
Insights
Neuromotor oesophageal disorders are rare in children, presenting with vomiting and poor growth. Diagnosis involves imaging, with surgery being the primary treatment for achalasia.
Area of Science:
- Pediatric Gastroenterology
- Esophageal Motility Disorders
Background:
- Neuromotor disorders of the esophagus are uncommon in pediatric populations.
- The spectrum includes conditions such as achalasia, vigorous achalasia, and diffuse esophageal spasm.
Observation:
- Classical presentation of achalasia in children involves vomiting, failure to thrive, and recurrent chest infections.
- Diagnostic confirmation relies on plain chest radiography and barium swallow, often revealing a characteristic "bird beak" sign.
Findings:
- Surgery is the established primary management strategy for pediatric achalasia.
- Adjunctive procedures, including Nissen fundoplication, are considered selectively in conjunction with surgical interventions.
Implications:
- Early diagnosis and surgical intervention are crucial for managing pediatric esophageal motility disorders.
- Tailored surgical approaches, potentially including fundoplication, can optimize outcomes for affected children.
Abstract:
The neuromotor disorders of the oesophagus are rare in childhood. The spectrum includes achalasia, vigorous achalasia and diffuse oesophageal spasm. The classical presentation in achalasia is vomiting, failure to thrive and recurrent chest infection. Diagnosis is confirmed on plain film of the chest and a barium swallow which shows the "bird beak" sign. Surgery is the preferred mode of management in children. Adjunctive procedures to surgery like Nissen fundoplication should be selectively performed.