Abstract

BACKGROUND
Developing countries at tertiary referral centre. The aim of this study was to share our experience of paediatric achalasia in Indian scenario.
MATERIALS AND METHODS
This was a retrospective analysis of children <16 years, operated for achalasia at our centre, from December 1998 to December 2011.
RESULTS
Total 40 patients (mean age 39 ± 4.29 months), including 1 patient of megaesophagus were operated over 13 years of period; 17 patients (associated congenital H-type tracheoesophageal fistula in one patient, non- responders/ lost follow-up for minimum of 3 years in 16 patients) were excluded from the study. The response rate of parents in follow-up was 60.0%. Mean symptoms duration was 27.88 ± 2 months. Most common symptoms were regurgitation and failure to thrive (78.2%). Mean symptom scoring in follow-up after 3 year was 1 ± 0.7 compared to 5 ± 0.51 at the time of admission (P < 0.012). One infant expired (mediastenitis), one developed adhesive intestinal obstruction and one needed posterior re-myotomy (for megaesophagus). There were no treatment failures in mean follow-up of 40.2 ± 5.07 months.
CONCLUSIONS
Cardiomyotomy with partial fundoplication is the best modality of treatment for paediatric achalasia cardia, even from parents' perspective.

Links

Publisher Full Text

Authors

Singh S, Wakhlu A, Pandey A, Kureel SN, Rawat J

Institution

Department of Pediatric Surgery, CSM Medical University (Erstwhile King George Medical University), Lucknow, India.

Source

African journal of paediatric surgery : AJPS 9:2 pg 117-21

MeSH

Child
Child, Preschool
Esophageal Achalasia
Esophagoscopy
Female
Fundoplication
Humans
India
Infant
Laparoscopy
Laparotomy
Male
Retrospective Studies

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22878759