Cricopharyngeal achalasia treated with myectomy and post-operative high-resolution manometry

Toshihiko Watanabe, Takahiro Shimizu, Masataka Takahashi, Kaori Sato, Michinobu Ohno, Yasushi Fuchimoto, Takanobu Maekawa, Katsuhiro Arai, Kunio Mizutari, Noriko Morimoto, Yutaka Kanamori

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Cricopharyngeal achalasia is an uncommon cause of dysphagia in neonates or children. A nine-year-old female patient was referred to us with a long history of dysphagia, recurrent pulmonary infection and growth stunting. A gastrostomy was introduced to improve her nutritional condition and to minimize potential inflammation in the pharynx. Subsequently, cervical cricopharyngeal myectomy was conducted. The surgical intervention allowed prompt resolution of symptoms without complications. High-resolution manometry post myectomy demonstrated a significant reduction in upper esophageal pressure together with proper relaxation at deglutition. The patient was able to consume solid food and liquid normally, and remained asymptomatic without medications six months after the surgery.

Original languageEnglish
Pages (from-to)1182-1185
Number of pages4
JournalInternational Journal of Pediatric Otorhinolaryngology
Volume78
Issue number7
DOIs
Publication statusPublished - 2014
Externally publishedYes

Fingerprint

Esophageal Achalasia
Manometry
Deglutition Disorders
Growth Disorders
Gastrostomy
Deglutition
Pharynx
Newborn Infant
Inflammation
Pressure
Food
Lung
Growth
Infection

Keywords

  • Cricopharyngeal achalasia
  • Cricopharyngeal myectomy
  • Dysphagia
  • High-resolution manometry
  • Motility
  • Pharyngocele

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Pediatrics, Perinatology, and Child Health
  • Medicine(all)

Cite this

Cricopharyngeal achalasia treated with myectomy and post-operative high-resolution manometry. / Watanabe, Toshihiko; Shimizu, Takahiro; Takahashi, Masataka; Sato, Kaori; Ohno, Michinobu; Fuchimoto, Yasushi; Maekawa, Takanobu; Arai, Katsuhiro; Mizutari, Kunio; Morimoto, Noriko; Kanamori, Yutaka.

In: International Journal of Pediatric Otorhinolaryngology, Vol. 78, No. 7, 2014, p. 1182-1185.

Research output: Contribution to journalArticle

Watanabe, T, Shimizu, T, Takahashi, M, Sato, K, Ohno, M, Fuchimoto, Y, Maekawa, T, Arai, K, Mizutari, K, Morimoto, N & Kanamori, Y 2014, 'Cricopharyngeal achalasia treated with myectomy and post-operative high-resolution manometry', International Journal of Pediatric Otorhinolaryngology, vol. 78, no. 7, pp. 1182-1185. https://doi.org/10.1016/j.ijporl.2014.04.036
Watanabe, Toshihiko ; Shimizu, Takahiro ; Takahashi, Masataka ; Sato, Kaori ; Ohno, Michinobu ; Fuchimoto, Yasushi ; Maekawa, Takanobu ; Arai, Katsuhiro ; Mizutari, Kunio ; Morimoto, Noriko ; Kanamori, Yutaka. / Cricopharyngeal achalasia treated with myectomy and post-operative high-resolution manometry. In: International Journal of Pediatric Otorhinolaryngology. 2014 ; Vol. 78, No. 7. pp. 1182-1185.
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