Skip Navigation LinksHome > April 2013 - Volume 56 - Issue 4 > Diffuse Esophageal Spasm in Children Referred for Manometry
Journal of Pediatric Gastroenterology & Nutrition:
doi: 10.1097/MPG.0b013e31827a7883
Original Articles: Gastroenterology

Diffuse Esophageal Spasm in Children Referred for Manometry

Rosen, John M.*; Lavenbarg, Teri; Cocjin, Jose; Hyman, Paul E.§

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ABSTRACT: Diffuse esophageal spasm (DES) causes chest pain and/or dysphagia in adults. We reviewed charts of 278 subjects 0 to 18 years of age after esophageal manometry to describe the frequency and characteristics of DES in children. Patient diagnoses included normal motility (61%), nonspecific esophageal motility disorder (20%), DES (13%, n = 36), and achalasia (4%). Of patients with DES, the most common chief complaint was food refusal in subjects younger than 5 years (14/24, 58%) and chest pain in subjects older than 5 years (4/12, 33%). Comorbid medical conditions, often multiple, existed in 33 subjects. DES should be considered when young children present with food refusal.

Copyright 2013 by ESPGHAN and NASPGHAN


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