Emblem R, Stringer M D, Hall C M, Spitz L
Department of Paediatric Surgery, Institute of Child Health, London.
Arch Dis Child. 1993 Jun;68(6):749-51. doi: 10.1136/adc.68.6.749.
Several treatment options are available in the management of achalasia of the cardia. Of a recent series of 14 children, 12 were treated by a modified Heller's myotomy combined with a floppy Nissen fundoplication. Symptoms were dramatically improved in nine during a mean follow up period of 3.9 years. Recurrent oesophageal pain was the most resistant symptom and continued to be moderately severe in three patients, two of whom obtained temporary relief by oesophageal balloon dilatation. Two patients treated by pneumatic dilatation alone have residual symptoms. These results support a primary surgical approach to the management of achalasia in children.
贲门失弛缓症的治疗有多种选择。在最近一组14名儿童中，12名接受了改良的Heller肌切开术联合松弛性Nissen胃底折叠术治疗。在平均3.9年的随访期内，9名患儿的症状得到显著改善。复发性食管疼痛是最难缓解的症状，3名患者的症状仍为中度严重，其中2名通过食管球囊扩张获得了暂时缓解。仅接受气囊扩张治疗的2名患者仍有残留症状。这些结果支持对儿童贲门失弛缓症采用主要手术治疗方法。
