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A Case of Achalasia Managed by Balloon Dilatation

Journal of the Korean Pediatric Society 1998;41(11):1596-1600.
Published online November 15, 1998.
A Case of Achalasia Managed by Balloon Dilatation
Hwa-Yeon Lee1, Jin-A Son1, Jae-Wook Ko1, Jae-Yun Kim2, Don-Hee Ahn1, Byung-Kook Gwak2, Jeong-Kee Seo3
1Department of Pediatrics, National Medical Center, Seoul, Korea
2Department of Pediatrics, National Medical Center, Seoul, Korea
2Department of Radiology, National Medical Center, Seoul, Korea
3Department of Pediatrics, Seoul National University, College of Medicine, Seoul, Korea
풍선 확장술로 치유된 분문 무이완증(Achalasia) 1례
이화연1, 손진아1, 고재욱1, 김재윤2, 안돈희1, 곽병국2, 서정기3
1국립의료원 소아과
2국립의료원 소아과
2국립의료원 진단방사선과
3서울대학교 의과대학 소아과학교실
Correspondence: 
Hwa-Yeon Lee, Email: 1
Abstract
An 8-year-old male was admitted because of dysphagia and substernal pain suffered while eating followed by postprandial vomiting for 2 years. He was always hungry due to postprandial vomiting and willing to eat again just after vomiting. After this meals, he used to jump up and down to shake off the substernal discomfort. A narrowing of the gastroesophageal junction was noted by esophagogram. Manometry revealed high Lower esophageal sphincter(LES) pressure (51.6mmHg), incomplete LES relaxation during swallowing, loss of esophageal peristalsis and a positive pressure of the esophageal body compared to intragastric pressure. After the 1st balloon dilatation, symptoms were much improved even though LES pressure still remained high(37.2mmHg). About 2 months after the 1st balloon dilatation, symptoms relapsed and we managed him with a 2nd balloon dilatation. Symptoms were more improved than after the 1st dilatation and LES pressure normalized as well. Since the 2nd dilatation, symptoms have not recurred for 3 years. We present an 8-year-old boy with achalasia successfully managed by the use balloon dilatation.
Key Words: Achalasia, Child, Balloon dilatation


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