title: Infantile Achalasia Cardia.
abstract: BACKGROUND
  Achalasia is extremely rare in infants.
  
  
  METHODS
  We report three infants of age 9, 7 and 12 months, who presented with recurrent non-bilious vomiting, repeated chest infection and severe failure to thrive. Diagnosis of achalasia cardia was confirmed on contrast-swallow study. Hellers cardiomyotomy with fundoplication led to complete symptomatic relief, and weight-gain on follow-up.
  
  
  CONCLUSIONS
  Achalasia cardia is often misdiagnosed as gastroesophageal reflux disease which leads to significant delay in diagnosis and increased morbidity.
authors: Departments of Pediatric Surgery and *Pediatric Gastroenterology, Sir Ganga Ram Hospital, New Delhi, India. Correspondence to: Dr Alpana Prasad, Room no 1284, Pediatric Surgery office (2nd floor), Department of Pediatric Surgery, Institute of Child Health, Sir Ganga Ram Hospital, New Delhi 110 060, alpanaprasad@hotmail.com.
authors: Rupa
authors: R
authors: Banerjee
authors: Alpana
authors: A
authors: Prasad
authors: Vivek
authors: V
authors: Kumar
authors: Nishant
authors: N
authors: Wadhwa
mesh_terms: D002299:Cardia / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D003937:Diagnosis, Differential; D004931:Esophageal Achalasia / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D007223:Infant; D008297:Male