Abstract
Esophageal achalasia is rare in children and only four to five percent of patients have been reported to be younger than the age of fifteen years. This paper is a report of a male infant with esophageal achalasia. Since three months of age, frequent postprandial regurgitation and respiratory distress have been seen. Any conservative treatment was not effective and the infant was admitted to our clinic at 12 months after birth. A chest X-ray film and a preoperative esophagogram revealed a shadow of pneumonia in the right lung and a narrowing of the esophagus at the gastroesophageal junction. At thirteen months of age, a transabdominal modified Heller's operation with a fundic patch formation was performed. After operation dilatations using Tucker's dilator were performed two times because the infant sometimes vomited at eating of solid foods. Postoperative course was uneventful and the development of the infant was well.