title: [Dysphagia in a trisomic adult operated on for esophageal atresia: achalasia or pseudo-achalasia?].
abstract: Esophageal involvement is frequent in Down syndrome. We report a case of dysphagia in a 21-year-old patient with Down syndrome and repaired esophageal atresia. Radiology, endoscopy, and manometry showed typical features of achalasia. The patient was treated first by botulinum toxin injection and afterwards by Heller myotomy with good result. The role of motor disorders associated with esophageal atresia or with primary achalasia in this patient is discussed.
authors.affiliation: Service de Gastroentérologie, Hôpital Cochin, Paris.
authors.forename: J M
authors.initials: JM
authors.lastname: Sabaté
authors.forename: M
authors.initials: M
authors.lastname: Gaudric
authors.forename: B
authors.initials: B
authors.lastname: Dousset
authors.forename: S
authors.initials: S
authors.lastname: Chaussade
authors.forename: D
authors.initials: D
authors.lastname: Couturier
mesh_terms: D000328:Adult; D003680:Deglutition Disorders / Q000209:etiology*; D003937:Diagnosis, Differential; D004314:Down Syndrome / Q000150:complications / Q000601:surgery*; D004931:Esophageal Achalasia / Q000175:diagnosis* / Q000209:etiology; D004933:Esophageal Atresia / Q000150:complications / Q000601:surgery*; D004940:Esophageal Stenosis / Q000175:diagnosis; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000175:diagnosis
vernacular_title: Dysphagie chez un trisomique adulte opéré d'une atrésie de l'oesophage: achalasie ou pseudo-achalasie?