Primary crycopharyngeal achalasia consists of a failure of the crycopharyngeus muscle to relax at the appropriate time during the swallowing process in the abscence of other motor abnormalities. The principle treatment options for cricopharyngeal achalasia include either dilatation of the upper esophagus or surgical myotomy of the cricopharyngeus muscle. We report a primary cricopharyngeal achalasia case, who was diagnosed early in 1st week of life and treated successfully by balloon dilatation, and discuss the treatment options for this very rare disease. The presented case is the first successfully treated newborn case during the neonatal period in the literature with respect to balloon dilatation.
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http://dx.doi.org/10.1016/j.ijporl.2006.08.012 | DOI Listing |
Rev 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.
View Article and Find Full Text PDFEndoscopy
December 2024
Department of Endoscopy, Specialties Hospital, XXI Century National Medical Center, Mexico City, Mexico.
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