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ABC of Pediatric Surgical ImagingAchalasia

ABC of Pediatric Surgical Imaging: Achalasia Surgeon: S. Cox A Achalasia Radiologist: A. Maydell Clinical Insights What the Surgeon Needs to Know Primary motility disorder of the The function of the oesophagus: Is oesophagus. peristalsis uncoordinated or non- Failure of a hypertensive lower oesopha- propulsive? geal sphincter to relax in response to Does the lower oesophageal sphincter fail swallowing results in a functional to relax during swallowing? obstruction at the gastro-oesophageal The structure of the oesophagus: Does junction. the oesophagus taper at the un-relaxed Fewer than 5% of cases occur in children. sphincter? Symptoms include dysphagia (most Is there dilation of the oesophageal body? common), regurgitation of undigested Is there pooling of barium or food residue food, chest pain, heartburn and weight in the oesophagus? loss. Warning Risk of aspiration of contrast material in advanced cases Clinical Diff erential Diagnosis Acquired strictures – Due to gastro- oesophagael refl ux and caustic ingestion. Controversies Congenital strictures in the form of fi brocartilagenous remnants. The cause is still debated. Oesophageal infections. Should surgical myotomy be accompa- Chagas disease may cause a similar nied by an anti-refl ux procedure? disorder. 2 Achalasia – Surgical Aspects Imaging Options Primary: Contrast swallow Additional: CXR Back-up: Oesophageal manometry and pH studies http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png

ABC of Pediatric Surgical ImagingAchalasia

Editors: Andronikou, Savvas; Alexander, Angus; Kilborn, Tracy; Millar, Alastair J. W.; Daneman, Alan
Cox, S.; Maydell, A.
Springer Journals — Jan 1, 2010
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Publisher
Springer Berlin Heidelberg
Copyright
© Springer-Verlag Berlin Heidelberg 2010
ISBN
978-3-540-89384-4
Pages
2 –3
DOI
10.1007/978-3-540-89385-1_1
Publisher site
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Abstract

Surgeon: S. Cox A Achalasia Radiologist: A. Maydell Clinical Insights What the Surgeon Needs to Know Primary motility disorder of the The function of the oesophagus: Is oesophagus. peristalsis uncoordinated or non- Failure of a hypertensive lower oesopha- propulsive? geal sphincter to relax in response to Does the lower oesophageal sphincter fail swallowing results in a functional to relax during swallowing? obstruction at the gastro-oesophageal The structure of the oesophagus: Does junction. the oesophagus taper at the un-relaxed Fewer than 5% of cases occur in children. sphincter? Symptoms include dysphagia (most Is there dilation of the oesophageal body? common), regurgitation of undigested Is there pooling of barium or food residue food, chest pain, heartburn and weight in the oesophagus? loss. Warning Risk of aspiration of contrast material in advanced cases Clinical Diff erential Diagnosis Acquired strictures – Due to gastro- oesophagael refl ux and caustic ingestion. Controversies Congenital strictures in the form of fi brocartilagenous remnants. The cause is still debated. Oesophageal infections. Should surgical myotomy be accompa- Chagas disease may cause a similar nied by an anti-refl ux procedure? disorder. 2 Achalasia – Surgical Aspects Imaging Options Primary: Contrast swallow Additional: CXR Back-up: Oesophageal manometry and pH studies

Published: Jan 1, 2010

Keywords: Primary Motility; Lower Oesophageal Sphincter; Functional Obstruction; Oesophageal Stricture; Undigested Food

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