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Laparoscopic esophagomyotomy for achalasia in children
G W Holcomb1, W O Richards, B D Riedel
1Department of Pediatric Surgery, Vanderbilt University Medical Center, Nashville, TN, USA.
Insights
Laparoscopic esophagomyotomy is a safe and effective treatment for achalasia in children. This minimally invasive approach offers advantages over open surgery, including reduced hospitalization and discomfort for pediatric patients.
Area of Science:
- Pediatric Surgery
- Gastroenterology
Background:
- Achalasia is a rare esophageal motility disorder affecting children.
- Surgical intervention is often required for symptom management.
Observation:
- Two pediatric patients with achalasia underwent a 6-port laparoscopic esophagomyotomy.
- Simultaneous esophagoscopy facilitated dissection and confirmed complete myotomy.
Findings:
- Both patients experienced complete symptom resolution post-surgery.
- No postoperative complications were reported in either case.
Implications:
- Laparoscopic esophagomyotomy is a viable and safe surgical option for pediatric achalasia.
- This technique offers benefits such as shorter hospital stays and decreased patient discomfort compared to open procedures.
Abstract:
Achalasia is an uncommon condition in children. The authors report on two children who were evaluated and treated with laparoscopic esophagomyotomy. A 6-port technique was used, with five 5-mm ports and one 10-mm port. During the procedure, esophagoscopy was performed simultaneously, which provided esophageal distension for easier dissection and aided the surgeon by documenting when a complete myotomy had been accomplished. The patients' symptoms have resolved, and no postoperative complications have developed. Laparoscopic esophagomyotomy can be performed safely in children and is an effective approach for treatment of this disorder. Its advantages over the open approach include shorter hospitalization and less discomfort.