DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20160049

Achalasia cardia presenting with bilateral broncheactasis in a child

Bhavana Venkata Nagabhushana Rao, Venkata Satya Raman Bhavana

Abstract


Achalasia cardia usually presents in the age group of 25 to 60 and rare in children. Dysphagia, regurgitation, vomiting and chest pain are the cardinal symptoms. If they present mainly with respiratory symptoms diagnosis may be difficult and delayed. Bilateral bronchiectasis is rarely reported in patients with achalasia both in adults and children. Sometimes children may be erroneously diagnosed as eating disorder as both may present with similar symptoms hence information that achalasia can occur in children reduces such risk. In those children presenting with chronic respiratory symptoms it is prudent to look for esophageal motility disorders. CT scan, endoscopy, manometry are useful diagnostic tools but gold standard is barium esophgogram to diagnose Achalasia. Chest postural drainage may be delayed in bronchiectatic patients with achalasia. Heller myotomy is standard surgical treatment for children. Untreated Patients may end up with megaesophagus, a progressively dilated esophagus.


Keywords


Achalasia, Respiratory disease, Bilateral bronchiectasis, Chronic cough, Child

Full Text:

PDF

References


Vaezi MF, Pandolfino JE, Vela MF. clinical guideline: diagnosis and management of achalasia. Am J Gastroenterol. 2013;108(8):1238.

Schultzjr E. Achalasia in children as a cause of recurrent pulmonary disease The Journal of Pediatrics.1961;59(4):522.

Sadowski DC, Ackah F, Jiang B, Svenson LW. Achalasia: incidence, prevalence and survival. A population-based study. Neurogastroenterol Motil. 2010;22(9):e256.

Eckardt VF, Köhne U, Junginger T, Westermeier T. Risk factors for diagnostic delay in achalasia -Dig Dis Sci. 1997;42(3):580.

Fisichella PM, Raz D, Palazzo F. Clinical, radiological, and manometric profile in 145 patients with untreated achalasia-World J Surg. 2008;32(9):1974-9.

Reas DL, Zipfel S, Is it an eating disorder or achalasia or both? A literature review and diagnostic challenges. Eur Eat Disord Rev. 2014;22(5):321-30.

Carter M, Deckmann RC, Smith RC. Differentiation of achalasia from pseudoachalasia by computed tomography.Am J Gastroenterol. 1997;92(4):624.

Leeuwenburgh I, Scholten P, Alderliesten J, Tilanus HW, Looman CW, Steijerberg EW. Long-term esophageal cancer risk in patients with primary achalasia: a prospective study.-Am J Gastroenterol. 2010;105(10):2144.

Lee CW, Kays DW, Chen MK, Islam S. Outcomes of treatment of childhood achalasia.J Pediatr Surg. 2010;45(6):1173-7.