Year 2020 / Volume 112 / Number 11
Original
Esophageal motility disorders in children with dysphagia: the utility of the Chicago classification

850-853

DOI: 10.17235/reed.2020.6735/2019

Rubén Peña-Vélez, Erick Toro-Monjaraz, David Avelar-Rodríguez, José Cadena-León, Karen Ignorosa-Arellano, Alejandro Loredo-Mayer, Flora Zárate-Mondragón, Roberto Cervantes-Bustamante, Jaime Ramírez-Mayans,

Abstract
Background: esophageal manometry is the standard criterion for the evaluation of dysphagia and the diagnosis of a primary motor disorder of the esophagus in adults and children. Aims: to describe the diagnosis according to the Chicago classification (CC) v3.0 in children with dysphagia, in whom an esophageal motility disorder was documented. The associated comorbidities were also determined. Methods: an observational retrospective study was performed of 54 patients evaluated for dysphagia, who had undergone a high-resolution manometry (HREM). Results: a normal HREM was found in 52 % (n = 28) of the children, whereas 48 % (n = 26) had some esophageal motility disorder. The most frequent diagnosis was ineffective esophageal motility and achalasia. Excluding previously healthy children, most children had a history of autoimmune disease and intellectual disability. Conclusions: an esophageal motor disorder can be diagnosed in nearly half of infants and children with dysphagia. In this study, all esophageal diseases could be classified according to the CC v3.0. HREM should be considered for the evaluation of children with dysphagia, in addition to other studies.
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References
Edeani F, Malik A, Kaul A. Characterization of Esophageal Motility Disorders in Children Presenting With Dysphagia Using High-Resolution Manometry. Curr Gastroenterol Rep. 2017;19(3):13.
Hong J. Clinical applications of gastrointestinal manometry in children. Pediatr Gastroenterol Hepatol Nutr. 2014;17(1):23-30.
Schlottmann F, Herbella FA, Patti MG. Understanding the Chicago Classification: From Tracings to Patients. J Neurogastroenterol Motil. 2017;23(4):487-494.
Kahrilas PJ, Bredenoord AJ, Fox M, et al. The Chicago Classification of esophageal motility disorders, v3.0. Neurogastroenterol Motil. 2015;27(2):160-74.
Rosen R, Garza JM, Tipnis N, et al. An ANMS-NASPGHAN consensus document on esophageal and antroduodenal manometry in children. Neurogastroenterol Motil. 2018;30(3).
Singendonk MM, Kritas S, Cock C, et al. Applying the Chicago Classification criteria of esophageal motility to a pediatric cohort: effects of patient age and size. Neurogastroenterol Motil. 2014;26(9):1333-41.
Singendonk MMJ, Ferris LF, McCall L, et al. High‐resolution esophageal manometry in pediatrics: Effect of esophageal length on diagnostic measures. Neurogastroenterol Motil. 2020;32(1):e13721.
Devouge E, Michaud L, Lamblin MD, et al. Primary esophageal motor disorders in childhood, genuine achalasia excluded. Arch Pediatr. 2002;9(7):664-70.
Rommel N, Omari TI, Selleslagh M, et al. High-resolution manometry combined with impedance measurements discriminates the cause of dysphagia in children. Eur J Pediatr. 2015;174(12):1629-37.
Eyigör S. Dysphagia in rheumatological disorders. World J Rheumatol 2013; 3(3): 45-50.
Booy JD, Takata J, Tomlinson G, et al. The prevalence of autoimmune disease in patients with esophageal achalasia. Dis Esophagus. 2012;25(3):209-13.
Peña-Vélez R, Almanza-Miranda E. Hepatitis autoinmune en la edad pediátrica. Bol Med Hosp Infant Mex. 2017;74(5):324-333. doi: 10.1016/j.bmhimx.2017.05.004.
Jackson A, Maybee J, Moran MK, et al. Clinical Characteristics of Dysphagia in Children with Down Syndrome. Dysphagia. 2016;31(5):663-71.
Zárate N, Mearin F, Hidalgo A, et al. Prospective evaluation of esophageal motor dysfunction in Down's syndrome. Am J Gastroenterol. 2001;96(6):1718-24.
Kim JS, Han ZA, Song DH, et al. Characteristics of dysphagia in children with cerebral palsy, related to gross motor function. Am J Phys Med Rehabil. 2013;92(10):912-9.
Faure C, Righini Grunder F. Dysmotility in Esophageal Atresia: Pathophysiology, Characterization, and Treatment. Front Pediatr. 2017;5:130.
Lemoine C, Aspirot A, Le Henaff G, et al. Characterization of esophageal motility following esophageal atresia repair using high-resolution esophageal manometry. J Pediatr Gastroenterol Nutr. 2013;56(6):609-14.
Mousavi SA, Karami H, Saneian H. Congenital duodenal obstruction with delayed presentation: seven years of experience. Arch Med Sci. 2016;12(5):1023–1027.
Marseglia L, Manti S, D'Angelo G, et al. Gastroesophageal reflux and congenital gastrointestinal malformations. World J Gastroenterol. 2015;21(28):8508–8515.
Fulp SR, Nestok BR, Powell BL, et al. Leukemic infiltration of the esophagus. Cancer. 1993;71(1):112-6.
Abrams EM, Sicherer SH. Diagnosis and management of food allergy. CMAJ. 2016;188(15):1087–1093.
Pensabene L, Salvatore S, D'Auria E, et al. Cow's Milk Protein Allergy in Infancy: A Risk Factor for Functional Gastrointestinal Disorders in Children?. Nutrients. 2018;10(11):1716.
Nurko S, Rosen R. Esophageal dysmotility in patients who have eosinophilic esophagitis. Gastrointest Endosc Clin N Am. 2008;18(1):73–ix.
Santander C, Chavarría-Herbozo CM, Becerro-González I, et al. Alteraciones de la función motora esofágica en la esofagitis eosinofílica. Rev Esp Enferm Dig. 2015;107:622-629. doi: 10.17235/reed.2015.3801/2015.
Yukselen A, Celtik C. Food allergy in children with refractory gastroesophageal reflux disease. Pediatr Int. 2016;58(4):254-8.
Hoffman I, De Greef T, Haesendonck N, et al. Esophageal motility in children with suspected gastroesophageal reflux disease. J Pediatr Gastroenterol Nutr. 2010; 50(6):601-8.
Mayberry JF, Mayell MJ. Epidemiological study of achalasia in children. Gut. 1988;29(1):90–93.
Gyawali CP, Sifrim D, Carlson DA, et al. Ineffective esophageal motility: Concepts, future directions, and conclusions from the Stanford 2018 symposium. Neurogastroenterol Motil. 2019;31(9):e13584.
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Peña-Vélez R, Toro-Monjaraz E, Avelar-Rodríguez D, Cadena-León J, Ignorosa-Arellano K, Loredo-Mayer A, et all. Esophageal motility disorders in children with dysphagia: the utility of the Chicago classification. 6735/2019


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Publication history

Received: 06/11/2019

Accepted: 21/03/2020

Online First: 15/10/2020

Published: 10/11/2020

Article revision time: 120 days

Article Online First time: 344 days

Article editing time: 370 days


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