Treatments for pediatric achalasia: Heller myotomy or pneumatic dilatation?
Gastroenterol Clin Biol
; 34(3): 202-8, 2010 Mar.
Article
em En
| MEDLINE
| ID: mdl-20303225
ABSTRACT
AIM:
The treatment of achalasia consists of reducing distal esophageal obstruction by either Heller myotomy surgery or endoscopic pneumatic dilatation. The aim of the present study was to evaluate the short- and middle-term results of these procedures in children.METHODOLOGY:
For technical reasons, children under six years old (n=8) were treated by surgery only, whereas patients over six years old (n=14) were treated by either Heller myotomy or pneumatic dilatation.RESULTS:
Of the children aged under six years, 75% were symptom-free at six months and 83% at 24 months of follow-up. Of the patients aged over six years, complete remission was achieved by Heller myotomy in 44.5% vs. 55.5% by pneumatic dilatation after six months, and in 40% vs. 65%, respectively, after 24 months. Both pneumatic dilatation and Heller myotomy showed significant rates of failure.CONCLUSION:
These results suggest that pneumatic dilatation may be considered a primary treatment in children over six years old. Also, where necessary, Heller myotomy and pneumatic dilatation may be used as complementary treatments.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Cateterismo
/
Acalasia Esofágica
/
Esofagectomia
/
Esfíncter Esofágico Inferior
Tipo de estudo:
Observational_studies
Limite:
Adolescent
/
Child
/
Child, preschool
/
Female
/
Humans
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Infant
/
Male
Idioma:
En
Ano de publicação:
2010
Tipo de documento:
Article