An 18-Month-Old Child Suffering From Achalasia Cardia Successfully Treated With Pneumatic Dilation

Achalasia cardia is an idiopathic esophageal motility disorder. It is rare in children and infrequent in below school-going age groups. The “bird’s beak” appearance of the lower esophagus on the esophagogram (barium swallow) is a classical radiological finding in the cases of esophageal Achalasia. The goals of achalasia therapy are symptom relief and improvement of esophageal emptying to prevent megaesophagus. The most effective treatment options are pneumatic dilation and surgical myotomy (Heller’s myotomy). Pneumatic dilation is the initial treatment of choice and does not preclude myotomy. Here, we present our experience with a young child with achalasia cardia that was successfully treated with pneumatic dilation.