Abstract：
BACKGROUND:Achalasia is a disorder of oesophageal motility and is rare in children. The mainstay of therapy has been surgery with its attendant complications and long postoperative stay. Treatment by hydrostatic balloon dilatation, a less morbid procedure, has not found much favour. OBJECTIVE:To review the overall efficacy of balloon dilatation for the treatment of achalasia in children and to highlight the high incidence of non-syndromic familial cases in Oman. MATERIALS AND METHODS:This is a retrospective study of all patients ( n=12) with achalasia treated with balloon dilatation at the Royal Hospital, Muscat, from 1991 to 1999. The diagnosis was established with a barium oesophagogram. Dilatation was performed under general anaesthesia. On follow-up, the weight and recurrence of symptoms were recorded. Investigations were done only if the patients were symptomatic on follow-up. Recurrence was treated with further dilatation. RESULTS:Of the 12 patients, 10 had excellent alleviation of symptoms. Two patients developed recurrence of symptoms which responded favourably to further dilatation. The average length of postoperative stay in the hospital was 2 days. Of these 12 patients, there were 3 sets of siblings who did not have any other syndromic associations. This group also showed very good prognosis. The mean follow-up period was 3.5 years for all patients. CONCLUSIONS:The results of balloon dilatation were very satisfactory. We also recommend this procedure when there is recurrence of symptoms. It has lower morbidity than surgery and hospital stay is shorter. Furthermore, we have a high rate of non-syndromic familial cases, all with a favourable outcome.
journal_name
Pediatr Radioljournal_title
Pediatric radiologyauthors
Upadhyaya M,Fataar S,Sajwany MJdoi
10.1007/s00247-001-0646-7keywords:
subject
Has Abstractpub_date
2002-06-01 00:00:00pages
409-12issue
6eissn
0301-0449issn
1432-1998journal_volume
32pub_type
杂志文章abstract：:We report a rare case of cystic metastases to the liver from a peripheral primitive neuroectodermal tumour in a child. Ultrasound and CT appearances are described with a discussion on the histological findings and the differential diagnosis. ...
journal_title：Pediatric radiology
pub_type： 杂志文章
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abstract：:A boy is described with severe hyperostosis of the cranium and facial bones, and many other abnormalities including macrocephaly, abnormal facies, cleft palate, conductive hearing loss, speech defect, dental and digital anomalies, delayed skeletal development, short fibulas, short stature of postnatal onset, cervical ...
journal_title：Pediatric radiology
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journal_title：Pediatric radiology
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journal_title：Pediatric radiology
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pub_type： 临床试验,杂志文章,多中心研究,随机对照试验
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更新日期：2000-07-01 00:00:00
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更新日期：2009-05-01 00:00:00
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更新日期：1984-01-01 00:00:00
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更新日期：2001-09-01 00:00:00
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更新日期：2012-05-01 00:00:00
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doi：10.1007/s00247-005-0056-3
更新日期：2006-03-01 00:00:00
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journal_title：Pediatric radiology
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journal_title：Pediatric radiology
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