A Case of Achalasia Managed by Balloon Dilatation.
- Author:
Hwa Yeon LEE
1
;
Jin A SON
;
Jae Wook KO
;
Jae Yun KIM
;
Don Hee AHN
;
Byung Kook GWAK
;
Jeong Kee SEO
Author Information
1. Department of Pediatrics, National Medical Center, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Achalasia;
Child;
Balloon dilatation
- MeSH:
Child;
Deglutition;
Deglutition Disorders;
Dilatation*;
Eating;
Esophageal Achalasia*;
Esophageal Sphincter, Lower;
Esophagogastric Junction;
Humans;
Male;
Manometry;
Meals;
Peristalsis;
Relaxation;
Vomiting
- From:Journal of the Korean Pediatric Society
1998;41(11):1596-1600
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
An 8-year-old male was admitted because of dysphagia and substernal pain suffered while eating followed by postprandial vomiting for 2 years. He was always hungry due to postprandial vomiting and willing to eat again just after vomiting. After this meals, he used to jump up and down to shake off the substernal discomfort. A narrowing of the gastroesophageal junction was noted by esophagogram. Manometry revealed high Lower esophageal sphincter (LES) pressure (51.6mmHg), incomplete LES relaxation during swallowing, loss of esophageal peristalsis and a positive pressure of the esophageal body compared to intragastric pressure. After the 1st balloon dilatation, symptoms were much improved even though LES pressure still remained high (37.2mmHg). About 2 months after the 1st balloon dilatation, symptoms relapsed and we managed him with a 2nd balloon dilatation. Symptoms were more improved than after the 1st dilatation and LES pressure normalized as well. Since the 2nd dilatation, symptoms have not recurred for 3 years. We present an 8-year-old boy with achalasia successfully managed by the use balloon dilatation.
