Cricopharyngeal achalasia treated with myectomy and post-operative high-resolution manometry.
Cricopharyngeal achalasia is an uncommon cause of dysphagia in neonates or children. A nine-year-old female patient was referred to us with a long history of dysphagia, recurrent pulmonary infection and growth stunting. A gastrostomy was introduced to improve her nutritional condition and to minimize potential inflammation in the pharynx. Subsequently, cervical cricopharyngeal myectomy was conducted. The surgical intervention allowed prompt resolution of symptoms without complications. High-resolution manometry post myectomy demonstrated a significant reduction in upper esophageal pressure together with proper relaxation at deglutition. The patient was able to consume solid food and liquid normally, and remained asymptomatic without medications six months after the surgery.
Division of Surgery, Department of Surgical Specialties, National Center for Child Health and Development, Tokyo, Japan. Electronic address: chbtosihiko@gmail.com.
Toshihiko
T
Watanabe
Division of Surgery, Department of Surgical Specialties, National Center for Child Health and Development, Tokyo, Japan.
Takahiro
T
Shimizu
Division of Surgery, Department of Surgical Specialties, National Center for Child Health and Development, Tokyo, Japan.
Masataka
M
Takahashi
Division of Surgery, Department of Surgical Specialties, National Center for Child Health and Development, Tokyo, Japan.
Kaori
K
Sato
Division of Surgery, Department of Surgical Specialties, National Center for Child Health and Development, Tokyo, Japan.
Michinobu
M
Ohno
Division of Surgery, Department of Surgical Specialties, National Center for Child Health and Development, Tokyo, Japan.
Yasushi
Y
Fuchimoto
Division of Pediatrics, Department of General Pediatrics and Interdisciplinary Medicine, National Center for Child Health and Development, Tokyo, Japan.
Takanobu
T
Maekawa
Division of Gastroenterology, Department of Medical Subspecialties, National Center for Child Health and Development, Tokyo, Japan.
Katsuhiro
K
Arai
Division of Otolaryngology, Department of Surgical Specialties, National Center for Child Health and Development, Tokyo, Japan.
Kunio
K
Mizutari
Division of Otolaryngology, Department of Surgical Specialties, National Center for Child Health and Development, Tokyo, Japan.
Noriko
N
Morimoto
Division of Surgery, Department of Surgical Specialties, National Center for Child Health and Development, Tokyo, Japan.
Yutaka
Y
Kanamori
D002648:Child; D003680:Deglutition Disorders / Q000209:etiology; D005260:Female; D006801:Humans; D008365:Manometry; D009119:Muscle Contraction / Q000502:physiology*; D010609:Pharyngeal Muscles / Q000503:physiopathology* / Q000601:surgery*; D011014:Pneumonia / Q000209:etiology; D012008:Recurrence
Cricopharyngeal achalasia; Cricopharyngeal myectomy; Dysphagia; High-resolution manometry; Motility; Pharyngocele