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Infantile Achalasia Cardia. | LitMetric

Infantile Achalasia Cardia.

Indian Pediatr

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,

Published: September 2016

Background: Achalasia is extremely rare in infants.

Case Characteristics: 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.

Message: Achalasia cardia is often misdiagnosed as gastroesophageal reflux disease which leads to significant delay in diagnosis and increased morbidity.

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Source
http://dx.doi.org/10.1007/s13312-016-0940-yDOI Listing

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