Skip to main content
Log in

Familial achalasia in children

  • Case Report
  • Published:
Pediatric Surgery International Aims and scope Submit manuscript

Abstract

Achalasia is rare in the pediatric age group and in most cases it is idiopathic with no family history. Familial achalasia is very rare. This report describes two families with achalasia: in one, six children were affected while in the other a brother and a sister had Allgrove’s syndrome (triple-A syndrome consisting of achalasia, adrenal insufficiency, and alacrima). Familial achalasia suggests that it is hereditary and may be transmitted as an autosomal recessive trait. The management of achalasia in children is still controversial. With the recent advances in minimal invasive surgery, laparoscopic Heller’s myotomy is the procedure of choice in the management of achalasia in children.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

References

  1. Verne GN, Sallustio JE, Eaker EY (1997) Anti-myenteric neuronal antibodies in patients with achalasia. A prospective study. Dig Dis Sci 42:307

    Article  CAS  PubMed  Google Scholar 

  2. Niwamoto H, Okamoto E, Fujimoto J et al (1995) Are human herpes viruses or measles virus associated with esophageal achalasia? Dig Dis Sci 40:859

    Article  CAS  PubMed  Google Scholar 

  3. Birgisson S, Galinski MS, Goldblum JR et al (1997) Achalasia is not associated with measles or known herpes and human papilloma viruses. Dig Dis Sci 42:300

    Article  CAS  PubMed  Google Scholar 

  4. Similä S, Kokkonen J, Kaski M (1978) Achalasia sicca—juvenile Sjögren’s syndrome with achalasia and gastric hyposecretion. Eur J Pediatr 129:175

    Article  PubMed  Google Scholar 

  5. Paterson WG (2001) Etiology and pathogenesis of achalasia. Gastrointest Endosc Clin N Am 11(2):249–266, vi

    Google Scholar 

  6. Raymond L, Lach B, Shamji FM (1999) Inflammatory aetiology of primary oesophageal achalasia: an immunohistochemical and ultrastructural study of Auerbach’s plexus. Histopathology 35:445–453

    Article  CAS  PubMed  Google Scholar 

  7. Verne GN, Hahn AB, Pineau BC et al (1999) Association of HLA-DR and -DQ alleles with idiopathic achalasia. Gastroenterology 117:26

    Article  CAS  PubMed  Google Scholar 

  8. Wong RK, Maydonovitch CL, Metz SJ, Baker JR Jr (1989) Significant DQw1 association in achalasia. Dig Dis Sci 34:349

    Article  CAS  PubMed  Google Scholar 

  9. Stein DT, Knauer CM (1982) Achalasia in monozygotic twins. Dig Dis Sci 27(7):636–640

    Article  CAS  PubMed  Google Scholar 

  10. Tryhus MR, Davis M, Griffith JK, Ablin DS, Gogel HK (1989) Familial achalasia in two siblings: significance of possible hereditary role. J Pediatr Surg 24(3):292–295

    Article  CAS  PubMed  Google Scholar 

  11. Zimmerman FH, Rosensweig NS (1984) Achalasia in a father and son. Am J Gastroenterol 79(7):506–508

    CAS  PubMed  Google Scholar 

  12. Rozycki DL, Ruben RJ, Rapin I, Spiro AJ (1971) Autosomal recessive deafness associated with short stature, vitiligo, muscle wasting and achalasia. Arch Otolaryngol 93(2):194–197

    Article  CAS  PubMed  Google Scholar 

  13. Allgrove J, Clayden GS, Grant DB (1978) Familial glucocorticoid deficiency with achalasia of the cardia and deficient tear production. Lancet 1(8077):1284–1286

    Article  CAS  PubMed  Google Scholar 

  14. Bosher LP, Shaw A (1981) Achalasia in siblings: clinical and genetic aspects. Am J Dis Child 135:709–710

    CAS  PubMed  Google Scholar 

  15. Okawada M, Okazaki T, Yamataka A et al (2005) Down’s syndrome and esophageal achalasia: a rare but important clinical entity. Pediatr Surg Int 21:997–1000

    Article  PubMed  Google Scholar 

  16. Annese V, Napolitano G, Minervini MM, Perri F, Ciavarella G, Di Giorgio G, Andriulli A (1995) Family occurrence of achalasia. J Clin Gastroenterol 20(4):329–330

    Article  CAS  PubMed  Google Scholar 

  17. Kaar TK, Waldron R, Ashraf MS, Watson JB, O’Neill M, Kirwan WO (1991) Familial infantile oesophageal achalasia. Arch Dis Child 66(11):1353–1354

    Article  CAS  PubMed  Google Scholar 

  18. Nihoul-Fékété C, Bawab F, Lortat-Jacob S, Arhan P (1991) Achalasia of the esophagus in childhood. Surgical treatment in 35 cases, with special reference to familial cases and glucocorticoid deficiency association. Hepatogastroenterology 38(6):510–513

    PubMed  Google Scholar 

  19. Myers NA, Jolley SG, Taylor R (1994) Achalasia of the cardia in children: a worldwide survey. J Pediatr Surg 29(10):1375–1379

    Article  CAS  PubMed  Google Scholar 

  20. Zhang Y, Xu CD, Zaouche A, Cai W (2009) Diagnosis and management of esophageal achalasia in children: analysis of 13 cases. World J Pediatr 5(1):56–59

    Article  PubMed  Google Scholar 

  21. Gazarian M, Cowell CT, Bonney M (1995) The “4A” syndrome: adrenocortical insufficiency associated with achalasia, alacrima, autonomic and other neurological abnormalities. Eur J Pediatr 154(1):18–23

    Article  CAS  PubMed  Google Scholar 

  22. Moore PS, Couch RM, Perry YS (1991) Allgrove syndrome: an autosomal recessive syndrome of ACTH insensitivity, achalasia and alacrima. Clin Endocrinol (Oxf) 34(2):107–114

    Article  CAS  Google Scholar 

  23. Hamza AF, Awad HA, Hussein O (1999) Cardiac achalasia in children. Dilatation or surgery? Eur J Pediatr Surg 9:299–302

    Article  CAS  PubMed  Google Scholar 

  24. Hurwitz M, Bahar RJ, Ament ME et al (2000) Evaluation of the use of botulinum toxin in children with achalasia. J Pediatr Gastroenterol Nutr 30:509–514

    Article  CAS  PubMed  Google Scholar 

  25. Jeansonne LO, White BC, Pilger KE et al (2007) Ten-year follow-up of laparoscopic Heller myotomy for achalasia shows durability. Surg Endosc 21:1498–1502

    Article  PubMed  Google Scholar 

  26. Bonatti H, Hinder RA, Klocker J et al (2005) Long-term results of laparoscopic Heller myotomy with partial fundoplication for the treatment of achalasia. Am J Surg 190:874–878

    Article  PubMed  Google Scholar 

  27. Patti MG, Albanese CT, Holcomb GW III, Molena D, Fisichella PM, Perretta S, Way LW (2001) Laparoscopic Heller myotomy and dor fundoplication for esophageal achalasia in children. J Pediatr Surg 36:1248–1251

    Article  CAS  PubMed  Google Scholar 

  28. Esposito C, Cucchiara S, Borrelli O et al (2000) Laparoscopic esophagomyotomy for the treatment of achalasia in children. Surg Endosc 14:110–113

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ahmed H. Al-Salem.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Torab, F.C., Hamchou, M., Ionescu, G. et al. Familial achalasia in children. Pediatr Surg Int 28, 1229–1233 (2012). https://doi.org/10.1007/s00383-012-3186-3

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00383-012-3186-3

Keywords

Navigation