Achalasia
Achalasia
Achalasia
difficulty in swallowing
regurgitation of food
Mehtylxantines may
exacerbate reflux by lowering
sphincter tone
Clinical M an ifestat ions
signs and symptoms relate
directly to the exposure of the
esophageal epithelium to refluxed
gastric contents
In 85% of affected infants
excessive vomiting occurs during
the 1st week of life
an additional 10% have
symptoms by 6wk
Patients with cerebral palsy,
Down syndrome and other causes
of developmental delay have an
increase incidence of reflux
Clinical M an ifestat ions
forceful vomiting
aspiration pneumonia
hemorrhage and/or hematemesis
anorexia
Diag nosis
In mild cases, a careful
clinical assessment may be
sufficient for diagnosis
barium esophagography
under fluoroscopic control
Diag nosis
esophagoscopy with biopsy
Treatm ent
In mil d un compli cated
cas es
Nissen fundoplication
Tre at ment
Tre at ment
occasionally, stricture
formation is so extensive that
colonic interposition is required
to replace a portion of the
esophagus
Thank You!
jgyif
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