Achalasia of the constrictor pharyngis inferior during the last stage of swallowing, when the muscle should relax to allow the bolus to pass into the esophagus, is responsible for regurgitation, attacks of coughing, and cyanotic crises during meals. In the long term, it may give rise to acute and chronic bronchial and lung disease due to the aspiration of food. This failure to relax is certainly one of the less common causes of dysphagia. Only six cases are to be found in the paediatric literature. Presentation of the first example observed in Italy is made the occasion for a review of the pathognomonic aspects of this dysfunction, its diagnosis, differentiation, and etiopathogenesis, and its treatment. Extramucosal longitudinal myotomy is the operation of choice. The results obtained with this method in the case presented are described.
|Translated title of the contribution||Achalasia of the constrictor pharyngis inferior: A rare cause of swallowing disturbance|
|Number of pages||9|
|Publication status||Published - 1981|
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health