Case Report
Achalasia in Pediatric Population: Use of High-Resolution Manometry in Children, Achalasia in Pediatric Population
González-Rodríguez Rebeca1, Ortiz-Olvera Nayeli X2*, González Martínez Marina3 and Flores-Calderón Judith4
1Servicio de Gastroenterología Pediátrica, Hospital de Pediatría, Centro Médico Nacional SXXI. IMSS, México
2Departamento de Gastroenterología, Hospital de Especialidades, Centro Médico Nacional SXXI, IMSS, México
3Laboratorio de motilidad, Servicio de Endoscopia, Hospital de Especialidades, Centro Médico Nacional SXXI, IMSS, México
4Servicio de Gastroenterología Pediátrica, Hospital de Pediatría, Centro Médico Nacional SXXI. IMSS, México
- *Corresponding Author:
- Nayeli Xochiquetzal Ortiz Olvera, M.D
Gastroenterology Department, UMAE
Hospital de Especialidades“Dr. Bernardo Sepúlveda”, Centro
Médico Nacional siglo XXI IMSS. Av. Cuauhtémoc 330
Colonia Doctores, Delegación Cuauhtémoc, CP. 06725
Mexico City, Mexico
Tel: 0155 56 27 69 00
Fax: 21565-21566
E-mail: nayelixoortiz@yahoo.com.mx
Received date: April 14, 2015; Accepted date: May 11, 2015; Published date: May 18, 2015
Citation: Rebeca GR, Nayeli XOO, Marina GM, Judith FC (2015) Achalasia in Pediatric Population: Use of High-Resolution Manometry in Children, Achalasia in Pediatric Population. J Gastrointest Dig Syst 5:286. doi:10.4172/2161-069X.1000286
Copyright: © 2015 Rebeca GR, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Achalasia is a rare esophageal motor disorder in the pediatric population, it is characterized by symptoms that mimic common diseases in children as gastroesophageal reflux disease (GERD), behavioral and eating disorders (ED). The clinical spectrum in children can range from typical symptoms such as progressive dysphagia, chest pain and weight loss, until nocturnal cough, recurrent pneumonia, asthma, stridor, aspiration, vomiting and feeding difficulties. Children may have delayed development and eating disorders. It is a disease that affects the physical, behavioral and psychosocial sphere. We report three cases of children with complex clinical presentation, an 11-year old boy with feeding difficulties initially diagnosed as eating disorder and behavioral disorder, a 14-year old girl with non-cardiac chest pain and a girl with Allgrove syndrome who presented dysphagia at 7 years old. In all three cases, the final diagnosis was established with esophageal manometry, with typical findings described in adults. The aim of the study is to describe the diagnosis and management of achalasia in pediatric populations.
