Retrospective analysis of paediatric achalasia in India: Single centre experience
Background: Developing countries at tertiary referral centre. The aim of this study was to share our experience of paediatric achalasia in Indian scenario. Materials and Methods: This was a retrospective analysis of children <16 years, operated for achalasia at our centre, from December 1998 to D...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2012-01-01
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| Series: | African Journal of Paediatric Surgery |
| Subjects: | |
| Online Access: | http://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2012;volume=9;issue=2;spage=117;epage=121;aulast=Singh |
| _version_ | 1811191963067613184 |
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| author | Sunita Singh Ashish Wakhlu Anand Pandey Shiv Narayan Kureel Jiledar Rawat |
| author_facet | Sunita Singh Ashish Wakhlu Anand Pandey Shiv Narayan Kureel Jiledar Rawat |
| author_sort | Sunita Singh |
| collection | DOAJ |
| description | Background: Developing countries at tertiary referral centre. The aim of this study was to share our experience of paediatric achalasia in Indian scenario. Materials and Methods: This was a retrospective analysis of children <16 years, operated for achalasia at our centre, from December 1998 to December 2011. Results: Total 40 patients (mean age 39 ± 4.29 months), including 1 patient of megaesophagus were operated over 13 years of period; 17 patients (associated congenital H-type tracheoesophageal fistula in one patient, non- responders/ lost follow-up for minimum of 3 years in 16 patients) were excluded from the study. The response rate of parents in follow-up was 60.0%. Mean symptoms duration was 27.88 ± 2 months. Most common symptoms were regurgitation and failure to thrive (78.2%). Mean symptom scoring in follow-up after 3 year was 1 ± 0.7 compared to 5 ± 0.51 at the time of admission (P < 0.012). One infant expired (mediastenitis), one developed adhesive intestinal obstruction and one needed posterior re-myotomy (for megaesophagus). There were no treatment failures in mean follow-up of 40.2 ± 5.07 months. Conclusions: Cardiomyotomy with partial fundoplication is the best modality of treatment for paediatric achalasia cardia, even from parents′ perspective. |
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| format | Article |
| id | doaj.art-96a0e6fe55164f65b784343d1ddd4ab0 |
| institution | Directory Open Access Journal |
| issn | 0189-6725 0974-5998 |
| language | English |
| last_indexed | 2024-04-11T23:44:30Z |
| publishDate | 2012-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | African Journal of Paediatric Surgery |
| spelling | doaj.art-96a0e6fe55164f65b784343d1ddd4ab02022-12-22T03:56:40ZengWolters Kluwer Medknow PublicationsAfrican Journal of Paediatric Surgery0189-67250974-59982012-01-019211712110.4103/0189-6725.99396Retrospective analysis of paediatric achalasia in India: Single centre experienceSunita SinghAshish WakhluAnand PandeyShiv Narayan KureelJiledar RawatBackground: Developing countries at tertiary referral centre. The aim of this study was to share our experience of paediatric achalasia in Indian scenario. Materials and Methods: This was a retrospective analysis of children <16 years, operated for achalasia at our centre, from December 1998 to December 2011. Results: Total 40 patients (mean age 39 ± 4.29 months), including 1 patient of megaesophagus were operated over 13 years of period; 17 patients (associated congenital H-type tracheoesophageal fistula in one patient, non- responders/ lost follow-up for minimum of 3 years in 16 patients) were excluded from the study. The response rate of parents in follow-up was 60.0%. Mean symptoms duration was 27.88 ± 2 months. Most common symptoms were regurgitation and failure to thrive (78.2%). Mean symptom scoring in follow-up after 3 year was 1 ± 0.7 compared to 5 ± 0.51 at the time of admission (P < 0.012). One infant expired (mediastenitis), one developed adhesive intestinal obstruction and one needed posterior re-myotomy (for megaesophagus). There were no treatment failures in mean follow-up of 40.2 ± 5.07 months. Conclusions: Cardiomyotomy with partial fundoplication is the best modality of treatment for paediatric achalasia cardia, even from parents′ perspective.http://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2012;volume=9;issue=2;spage=117;epage=121;aulast=SinghCardiomyotomyfundoplicationpediatric achalasia cardia |
| spellingShingle | Sunita Singh Ashish Wakhlu Anand Pandey Shiv Narayan Kureel Jiledar Rawat Retrospective analysis of paediatric achalasia in India: Single centre experience African Journal of Paediatric Surgery Cardiomyotomy fundoplication pediatric achalasia cardia |
| title | Retrospective analysis of paediatric achalasia in India: Single centre experience |
| title_full | Retrospective analysis of paediatric achalasia in India: Single centre experience |
| title_fullStr | Retrospective analysis of paediatric achalasia in India: Single centre experience |
| title_full_unstemmed | Retrospective analysis of paediatric achalasia in India: Single centre experience |
| title_short | Retrospective analysis of paediatric achalasia in India: Single centre experience |
| title_sort | retrospective analysis of paediatric achalasia in india single centre experience |
| topic | Cardiomyotomy fundoplication pediatric achalasia cardia |
| url | http://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2012;volume=9;issue=2;spage=117;epage=121;aulast=Singh |
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