Transabdominal esophagomyotomy for achalasia in children

Transabdominal esophagomyotomy for achalasia in children

Achalasia is an uncommon esophageal problem in children. Nine cases accumulated over 7 yr at one institution are reviewed. Infants present with failure to thrive and may be misdiagnosed as suffering from chalasia. Older children demonstrate dysphagia, nocturnal regurgitation, and failure to thrive....

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Veröffentlicht in:Journal of pediatric surgery 1980-08, Vol.15 (4), p.457-461
Hauptverfasser: Ballantine, Thomas V.N., Fitzgerald, Joseph F., Grosfeld, Jay L.
Format: Artikel
Sprache:eng
Schlagworte:
Abdomen - surgery
Achalasia
Adolescent
Child
Child, Preschool
Esophageal Achalasia - diagnosis
Esophageal Achalasia - surgery
esophagomyotomy
Esophagus - surgery
Female
fundoplication
Humans
Infant
Male
Methods
Postoperative Complications
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Zusammenfassung:Achalasia is an uncommon esophageal problem in children. Nine cases accumulated over 7 yr at one institution are reviewed. Infants present with failure to thrive and may be misdiagnosed as suffering from chalasia. Older children demonstrate dysphagia, nocturnal regurgitation, and failure to thrive. Constrat studies and esophageal manometry are diagnostic of the disease. Transabdominal esophagomyotomy is advocated, especially if Nissen fundoplication is also felt to be indicated to prevent reflux. All nine patients were treated successfully with this variation of the operation.
ISSN:0022-3468
1531-5037
DOI:10.1016/S0022-3468(80)80753-6