[Esophageal achalasia in children].
The achalasia is an uncommon pathology in childhood but the disturbances in growth, development and the severity of pulmonary symptoms are more severe than adults. In a period of twenty five years we have diagnosed three children of sixteen months, 4,5 and twelve years of achalasia and treating them with a modified Heller procedure as primary therapy adding anti-reflux procedure in the youngest. Literature review indicates excellent results following modified Heller's operation in more than 85 per 100 of cases. When an anti-reflux procedure is not performed the incidence of gastro-oesophageal reflux in childhood is 20 per 100.
Hospital Infantil La Paz, Departamento de Cirugía Pediátrica, Madrid.
P
P
Fernández Eire
A
A
Queizan de la Fuente
J M
JM
Mariño Espuelas
J
J
González Utrilla
D000367:Age Factors; D002299:Cardia / Q000601:surgery; D002675:Child, Preschool; D004931:Esophageal Achalasia / Q000000981:diagnostic imaging / Q000601:surgery*; D004947:Esophagus / Q000601:surgery; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D011859:Radiography
Acalasia esofagica en la edad pediatrica.