Achalasia Cardia in a Young Infant

  • V. Poornachand
  • K. Kumarasamy
  • S. P. Karamath
  • V. Seenivasan
  • Sumathi Bavanandam
  • Nirmala Dheivamani
Clinical Brief
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Abstract

Achalasia cardia is an esophageal motility disorder rarely reported in children and more so in young infants. Common clinical presentations include vomiting, dysphagia, regurgitation, recurrent pulmonary aspiration and failure to thrive. Diagnosis is made by barium swallow study and esophageal manometry, which is the gold standard test. Pharmocological management and endotherapy often fails and results in recurrence of symptoms. Laparoscopic Hellers myotomy, with or without anti-reflux procedure is the standard treatment of choice for children. Per-oral endoscopic myotomy is utilized for treatment of achalasia in adults, but its safety, efficacy, and feasibility is not studied in children.

Keywords

Motility disorder Failure to thrive Recurrent regurgitation 

Notes

Contributions

PV: Principle observer; KK, KSP and SV: Case study and follow up; SB and ND: Speciality advice, manometry study and endoscopy. KK will act as guarantor for this paper.

Compliance with Ethical Standards

Conflict of Interest

None.

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Copyright information

© Dr. K C Chaudhuri Foundation 2018

Authors and Affiliations

  1. 1.Department of Pediatrics, Institute of Child Health and Hospital for ChildrenMadras Medical CollegeChennaiIndia
  2. 2.Department of Pediatric Gastroenterology, Institute of Child Health and Hospital for ChildrenMadras Medical CollegeChennaiIndia

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