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Robotic– Assited Heller’s Myotomy for Two Children with Allgrove’s Syndrome (Abstract)

Aayed Al-Qahtani*, Ahmed H. Al-Salem,
Division of Pediatric Surgery, Department of Surgery, King Khalid University Hospital, Riyadh, Saudi Arabia*
Department of Pediatric Surgery, Maternity and Children Hospital, Dammam, Saudi Arabia

Abstract

Allgrove’s syndrome (Achalasia, Alacrimia, Adrenal insufficiency, Autonomic neuropathy) is a very rare condition in the pediatric age group. It is congenital inherited as an autosomal recessive but the clinical picture is variable. We report two siblings with Allgrove’s syndrome treated successfully with robotic assisted Heller’s myotomy. Robotic assisted Heller’s myotomy is a feasible, safe and effective in children with Allgrove’s syndrome. The associated autonomic neuropathy in children with Allgrove’s syndrome must be kept in mind when an additional antireflux procedure is contemplated as this may lead to post-operative dysphagia.

Key words: allgrove’s syndrome, achalasia, heller’s myotomy, robotic assisted heller’s myotomy.

 

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