Esophageal achalasia of unknown etiology in children

To report a case of a 9-year-old female presented with esophageal achalasia and approached with surgery. The authors discuss the treatment and make a literature review on the topic. Childhood esophageal achalasia is an unusual disease, often with unknown etiology. The main symptoms are esophageal vo...

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Bibliographic Details
Published in:	Jornal de pediatria Vol. 80; no. 6; pp. 523 - 526
Main Authors:	Fernandez, Pedro M, Lucio, Luiz A G, Pollachi, Fabíola
Format:	Journal Article
Language:	English Portuguese
Published:	Brazil 01-11-2004
Subjects:	Child Esophageal Achalasia - diagnosis Esophageal Achalasia - etiology Esophageal Achalasia - surgery Esophagoscopy Female Follow-Up Studies Humans Manometry
Online Access:	Get full text
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Summary:	To report a case of a 9-year-old female presented with esophageal achalasia and approached with surgery. The authors discuss the treatment and make a literature review on the topic. Childhood esophageal achalasia is an unusual disease, often with unknown etiology. The main symptoms are esophageal vomits, dysphagia and weight loss. The diagnosis can be made by esophagogram and endoscopy, but the main examination is the esophageal manometry. Even though the surgical approach is a well-established therapy, some alternative treatments have been used, such as the endoscopy balloon dilatation and the use of botulinum toxin. Esophageal achalasia is a rare disease in childhood, with unknown etiology. The presentation may be confused with gastroeshophageal reflux, sometimes causing a diagnosis delay. The surgical approach, as well as an antireflux procedure, is the treatment of choice.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Review-3 content type line 23 ObjectType-Case Study-5 ObjectType-Feature-1 ObjectType-Report-4
ISSN:	0021-7557
DOI:	10.2223/1268