Patil K K, Telmesani A, Ogunbiyi O A
Department of Paediatric Surgery, Assir Central Hospital, Abha, Kingdom of Saudi Arabia.
West Afr J Med. 1993 Jul-Sep;12(3):172-4.
The neuromotor disorders of the oesophagus are rare in childhood. The spectrum includes achalasia, vigorous achalasia and diffuse oesophageal spasm. The classical presentation in achalasia is vomiting, failure to thrive and recurrent chest infection. Diagnosis is confirmed on plain film of the chest and a barium swallow which shows the "bird beak" sign. Surgery is the preferred mode of management in children. Adjunctive procedures to surgery like Nissen fundoplication should be selectively performed.
食管神经运动障碍在儿童时期较为罕见。其范围包括贲门失弛缓症、强力型贲门失弛缓症和弥漫性食管痉挛。贲门失弛缓症的典型表现为呕吐、生长发育迟缓及反复肺部感染。胸部平片和上消化道钡餐造影可确诊，表现为“鸟嘴”征。手术是儿童首选的治疗方式。像nissen胃底折叠术等手术辅助程序应选择性进行。
