Background and study aims Childhood achalasia treatment remains inconclusive.What is next after myotomy failure? Repeated pneumatic-dilation hindirochakkahaniya.com put patients at greater risk of perforation with possible symptom recurrence.We report on a 12-year-old patient with a 1-year history of achalasia whom underwent Heller myotomy with fundoplication and recurred with symptoms 1 week after surgery.Pneumatic dilatation was considered but not done because of the risk of esophageal perforation.The decision was made to place a fully covered self-expanding metallic stent (FC-SEMS) for 3 months, which resolved the stenosis as confirmed by esophagram.
The patient has remained asymptomatic since the procedure was performed 2 years ago.FC-SEMS is an alternative for treatment of refractory achalasia in children who diamond painting strand en zee do not respond to conventional treatment.