Retrospective analysis of paediatric achalasia in India: single centre experience.
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.
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.
Cardiomyotomy with partial fundoplication is the best modality of treatment for paediatric achalasia cardia, even from parents' perspective.
Department of Pediatric Surgery, CSM Medical University (Erstwhile King George Medical University), Lucknow, India.
SourceAfrican journal of paediatric surgery : AJPS 9:2 pg 117-21
Pub Type(s)Journal Article