Document Detail


Congenital cricopharyngeal achalasia.
MedLine Citation:
PMID:  911135     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Fifteen infants with congenital cricopharyngeal achalasia are reviewed. Although most of the patients had symptoms at birth, the diagnosis was frequently not confirmed until later in the first year of life. While four of the infants had only cricopharyngeal achalasia, 11 had associated diseases related to the central nervous system. Those patients without associated diseases improved spontaneously with conservative management; most of the infants with other abnormalities also improved, although their clinical progress was slower and more complicated. In three of the patients, the symptoms were persistent and there were two deaths related to associated diseases. Cricopharyngeal myotomy was performed on two children with only moderate improvement in symptoms. Congenital cricopharyngeal achalasia is more common than formerly recognized. When suspected, an esophagram with tele- or cineradiography is essential to confirm the diagnosis. Esophageal motility studies will quantify changes and also evaluate lower esophageal dysfunction not easily identified on esophagrams.
Authors:
T J Reichert; C D Bluestone; S E Stool; W K Sieber; A M Sieber
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of otology, rhinology, and laryngology     Volume:  86     ISSN:  0003-4894     ISO Abbreviation:  Ann. Otol. Rhinol. Laryngol.     Publication Date:    1977 Sep-Oct
Date Detail:
Created Date:  1977-11-30     Completed Date:  1977-11-30     Revised Date:  2006-05-15    
Medline Journal Info:
Nlm Unique ID:  0407300     Medline TA:  Ann Otol Rhinol Laryngol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  603-10     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Deglutition Disorders / radiography
Esophageal Achalasia / congenital*,  radiography,  surgery
Esophagoscopy
Female
Humans
Infant
Infant, Newborn
Male
Manometry
Peristalsis
Pharyngeal Diseases / congenital*,  radiography
Prognosis

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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