Système gastro-intestinal et digestif

Abstrait

Achalasia in Pediatric Population: Use of High-Resolution Manometry in Children, Achalasia in Pediatric Population

González-Rodríguez Rebeca, Ortiz-Olvera Nayeli X, González Martínez Marina, Flores-Calderón Judith

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.