Achalasia cardia in a child managed with per-oral endoscopic myotomy: a case report

Tabia Tamim; Chandrika Rao; Satish Kumar; Avinash B.; Kiran R. Vari; Aditi Rao

doi:10.18203/2349-3291.ijcp20252977

Authors

Tabia Tamim Department of Pediatrics, Ramaiah Medical College, Bangalore, Karnataka, India
Chandrika Rao Department of Pediatrics, Ramaiah Medical College, Bangalore, Karnataka, India
Satish Kumar Department of Pediatrics, Ramaiah Medical College, Bangalore, Karnataka, India
Avinash B. Department of Gastroenterology, Ramaiah Medical College, Bangalore, Karnataka, India
Kiran R. Vari Department of Gastroenterology, Mazumdar Shaw Medical Center, Narayana Health City, Bangalore, Karnataka. India
Aditi Rao Department of Gastroenterology, Mazumdar Shaw Medical Center, Narayana Health City, Bangalore, Karnataka. India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20252977

Keywords:

Achalasia cardia, Pediatric, POEM, High-resolution manometry, Esophageal motility disorder

Abstract

We present a case of a 12-year-old girl with progressively worsening vomiting and respiratory symptoms, eventually diagnosed with achalasia cardia. Initial imaging and endoscopy suggested esophageal motility disorder, confirmed by high-resolution manometry as type I achalasia. The child underwent per-oral endoscopic myotomy (POEM) procedure after antifungal treatment for incidental esophageal candidiasis. The procedure was successful with complete symptom resolution and weight gain on follow-up. This case highlights the diagnostic challenges in pediatric Achalasia and emphasizes the role of POEM as an effective therapeutic modality.

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