Surgical treatment of infantile achalasia: a case report and literature review

被引:0
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作者
Y. Li
S. C. Fallon
M. A. Helmrath
M. Gilger
M. L. Brandt
机构
[1] Baylor College of Medicine,Division of Pediatric Surgery, Michael E DeBakey Department of Surgery
[2] Baylor College of Medicine,Division of Pediatric Gastroenterology, Department of Pediatrics
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关键词
Pediatrics; Achalasia; Heller myotomy; Toupet fundoplication;
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摘要
Allgrove syndrome is a rare genetic disorder typically manifested by alacrima, achalasia, and adrenal insufficiency, and is one of the rare causes of achalasia in infants. While the gold standard for achalasia treatment in adults is an esophageal myotomy with fundoplication, a standard treatment for infantile achalasia remains undetermined due to the low number of reported cases and rarity of the disease in this age group. We report a 7.7 kg infant with achalasia secondary to Allgrove syndrome who was successfully treated by Heller myotomy and simultaneous Toupet fundoplication. This case represents one of the smallest patients to ever be treated for achalasia and highlights the role that primary surgical therapy may have for the infantile variant of the disease.
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页码:677 / 679
页数:2
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