Minireviews
Copyright ©2014 Baishideng Publishing Group Co.
World J Gastrointest Endosc. Apr 16, 2014; 6(4): 105-111
Published online Apr 16, 2014. doi: 10.4253/wjge.v6.i4.105
Table 3 Surgical management of pediatric achalasia
Ref.nAge (yr)Symptom duration (mo)ProcedureOR time (min)ComplicationsTreatmentLength of stay (d)Follow up (mo)
Pastor et al[16]4012.410.76 OHM1861 perforationSutured-75
3 LHM1562 perforationsSutured-
11 LHM + Nissen
21 dilation
Corda et al[24]20122420 LHM964 conversions OHM360
(5-15)(60-160)5 dysphagia(1-5)
1 lap LOA 1 redo LHM 1 redo OHM
Esposito et al[26]318.4>1231 LHM/Dor1203 perforations2 sutured49-156
(5-15)1 redo HM(3-8)
5 dysphagia2 dilated
1 redo OHM
Tannuri et al[27]15123015 LHM/Dor902 dysphagia1 botox injection2.532.5
(9-17)(150-260)(1-4)(2-96)
Patti et al[28]13152413 LHM/Dor144 ± 35--219
(6-17)
Lelli et al[29]1910-14 OHM-2 dysphagia2 dilation8108
(1-17)5 OHM + Belsey(6-252)
Rothenberg et al[30]9126-244 THM951 perforationSutured2-
(5-17)1 dysphagiaRedo LHM
2 GERDMedical Rx
5 LHM/Dor621 delayed perforationLap repair1
Askegard-Giesmann et al[31]2615-1 LHM-1 perforationSutured2.70-75
(4-18)2 LHM/Dor1 perforation/aspirationSutured(1-4)-20
7 dysphagia
23 LHM + Toupet3 redo LHM
3 dilation
1 GERD1 botox
Medical Rx
Esposito et al[32]86.3> 121 LHM6 LHM/Dor1203 perforations3 sutured4 (3-31)6-60
(2-13)2 LHM/Thal(90-150)
Current Study2412.9> 243 LHM1242 perforations2 sutured2.74
(5-18)2 LHM/Thal(45-213)(1-6)(4-24)
19 LHM/Dor2 dysphagia2 dilations
1 redo LHM