This report describes an infant with vomiting and significant weight loss attributable to cricopharyngeal achalasia, a rare finding in children. The infant responded to balloon dilation of the upper esophageal sphincter, with resolution of symptoms and return to presymptomatic growth parameters. A brief description of the clinical features, diagnostic evaluation, and treatment options for cricopharyngeal achalasia is included.
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http://dx.doi.org/10.1097/01.SMJ.0000152547.57272.37 | DOI Listing |
J Clin Gastroenterol
February 2025
Digestive Disease and Surgery Institute, Cleveland Clinic London, UK.
Peroral endoscopic myotomy (POEM) is a novel technique within the field of third space endoscopy. The overarching principal is creation of a mucosal incision, careful dissection of the submucosal space using an electrosurgical knife to reach the muscularis (ie, tunneling), performing a controlled myotomy, and finally, closure of the mucosal incision. POEM was first developed for the management of achalasia, and now a decade of evidence shows the procedure is safe, effective, and highly reproducible.
View Article and Find Full Text PDFRev Gastroenterol Mex (Engl Ed)
October 2024
Departamento de Salud Digestiva Pediátrica, Complejo Médico Fundación Cardiovascular de Colombia - Hospital Internacional de Colombia, Piedecuesta, Santander, Colombia.
Int J Pediatr Otorhinolaryngol
November 2024
Pediatric Otolaryngology-Head and Neck Surgery, Department of Surgery, Stollery Children's Hospital, Edmonton, AB, Canada.
Background: Pediatric dysphagia is a commonly encountered clinical problem, with primary cricopharyngeal achalasia being a rare etiology. Management options for this condition include observation, medical and surgical management. The goal of this review paper was to summarize the current literature on the topic with respect to patient presentation, diagnosis and surgical management options.
View Article and Find Full Text PDFJ Pediatr Gastroenterol Nutr
December 2024
Paediatric Gastroenterology Department, Great Ormond Street Hospital, London, UK.
What Is Known: Botulinum toxin (BoNT) causes muscle relaxation by inhibiting acetylcholine release from presynaptic motor neurons at the neuromuscular junction.
What Is New: In children with achalasia, BoNT can be considered only in patients in whom rapid weight gain is important to improve surgical outcomes. BoNT has been suggested for treating cricopharyngeal achalasia and delayed gastric emptying.
Best Pract Res Clin Gastroenterol
August 2024
Gastroenterology Department Hospital Universitario de Navarra, NavarraBiomed, UPNA, IdiSNA, Spain. Electronic address:
Cricopharyngeal achalasia (CPA), also known as cricopharyngeal bar, is a rare motor disorder affecting the upper oesophageal sphincter. This comprehensive literature review focuses on clinical aspects that can assist physicians in daily decision-making. The diagnosis of CPA is primarily based on symptoms of upper dysphagia and radiological identification of a posterior bar.
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