Achalasia Cardia of Infancy: Report of Two Cases
Keywords: Achalasia cardia, Infant
Achalasia cardia is a neuromuscular disorder of unknown etiology involving the body of the esophagus and lower esophageal sphincter. It is characterized by abnormal esophageal motility and failure of relaxation of lower esophageal sphincter. It usually affects the patients between the age of 30 and 60 years. It is unusual in childhood and is extremely rare in infants. We report two cases of achalasia cardia in the infants. Both the cases were treated with open Heller’s esophagocardiomyotomy with anti-reflux procedure.
- Case 1(b)- Anterior-posterior view of Barium esophagogram showing Bird's Beak appearance
- Case 1(a)- Lateral view of Barium esophagogram
- Case 1(C) - Immediate preoperative picture of the baby
- case 1d- Left subcostal incision is made
- case 1e- Mobilization of cardia and lower end of esophagus
- case 1f- The arrow shows dilated part of the esophagus
- case 1g- Heller's esophagocardiomyotomy
- case 1h- The arrow shows protrusion of esophageal mucosa
- case 1i- Toupet post. partial fundoplication
- Case 1(J) - Picture of the baby before discharge
- case 2- Anterior-posterior view of the Barium esophagogram showing typical Bird's beak appearance
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