Achalasia Cardia In Indian Children– Experience From A Tertiary Care Institute In Chennai, India
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Date
2018-09
Journal Title
Journal ISSN
Volume Title
Publisher
World Wide Journals
Abstract
Introduction:Achalasia cardia a rare oesophageal motility disorder is not uncommon in children. Aim and objectives:To describe the clinical profile of achalasia from a single pediatric tertiary care centre. Materials and Methods: Retrospective analysis of case records over a period of 10 years from March 2008 to March 2018 at institute of child health and hospital for children, Chennai, India. Results: 26 children had achalasia and 11 (42.3%) were males. The mean age was 42.08±36.33 months and 19 (73.07%) were less than five years at diagnosis. Vomiting was the most common symptom (88.4%) followed by failure to thrive (80.77%). Six had features of Allgrove syndrome. Heller's cardiomyotomy with or without fundoplication was done in 24 (92.3%) and pneumatic dilatation in two. Conclusion: Achalasia cardia is not uncommon and should be considered in children presenting with vomiting, dysphagia and failure to thrive. Surgery remains to be safe and effective.
Description
Keywords
Achalasia, Children, Manometry, Heller's Myotomy, Pneumatic dilatation
Citation
Bavanandam Sumathi, Sethuraman Chidambaram, Dheivamani Nirmala, B Bhaskar Raju. Paget–Schroetter Syndrome A.K.A. Effort Thrombosis (UPPER Extremity Deep Vein Thrombosis). International Journal of Scientific Research. 2018 Sep; 7(9): 38-39