{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T10:09:21Z","timestamp":1760954961980},"reference-count":38,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[1985,5,1]],"date-time":"1985-05-01T00:00:00Z","timestamp":483753600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1985,5,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Fifteen children with achalasia treated surgically over a period of 21 years are reported. All had a modified Heller's myotomy as a primary treatment. The thoracic approach was used in five and the abdominal route in ten. In three patients the myotomy was confined to the oesophagus. Six patients had antireflux procedures at the time of initial myotomy. The mean follow-up period was 6.2 years. Nine patients had excellent results, three had good results, two had fair results and one had a poor result. Of the nine children who did not have an antireflux procedure, three developed symptomatic and radiologically proven gastro-oesophageal reflux. The results of myotomy in children with achalasia are satisfactory but a significant number may develop gastro-oesophageal reflux. We believe that a modified Heller's myotomy combined with a short loose Nissen fundoplication should be the primary treatment of achalasia in children.<\/jats:p>","DOI":"10.1002\/bjs.1800720504","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T04:40:51Z","timestamp":1172896851000},"page":"341-343","source":"Crossref","is-referenced-by-count":23,"title":["Achalasia of the cardia in children"],"prefix":"10.1093","volume":"72","author":[{"given":"R G","family":"Buick","sequence":"first","affiliation":[{"name":"The Institute of Child Health, University of London , London,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L","family":"Spitz","sequence":"additional","affiliation":[{"name":"The Institute of Child Health, University of London , London,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1985,5,1]]},"reference":[{"key":"2024092717162221800_bib1","first-page":"149","volume-title":"The Esophagus: Reflux and Primary Motor Disorders","author":"Henderson","year":"1966"},{"key":"2024092717162221800_bib2","doi-asserted-by":"crossref","first-page":"963","DOI":"10.1016\/S0039-6109(16)43097-5","article-title":"Treatment of achalasia of the esophagus","volume":"63","author":"Payne","year":"1983","journal-title":"Surg Clin N Am"},{"key":"2024092717162221800_bib3","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1016\/S0022-3468(80)80752-4","article-title":"Achalasia in childhood: a 20-year experience","volume":"15","author":"Azizkhan","year":"1980","journal-title":"J Pediatr Surg"},{"key":"2024092717162221800_bib4","first-page":"1281","article-title":"Over cardiospasmus","volume":"2","author":"de Bruine Groenveld","year":"1918","journal-title":"Nederl Tijdschr Geneesk"},{"key":"2024092717162221800_bib5","first-page":"141","article-title":"Extramukose Cardiaplastik beim chronische Cardiospasm mit Dilatation des Oesophagus","volume":"27","author":"Heller","year":"1914","journal-title":"Mitt Grenzgeb Med Chir"},{"key":"2024092717162221800_bib6","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1111\/j.1445-2197.1978.tb07296.x","article-title":"Achalasia cardia: a review of 100 cases","volume":"48","author":"Muralidharan","year":"1978","journal-title":"Aust NZ J Surg"},{"key":"2024092717162221800_bib7","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1016\/S0096-5588(20)31266-6","article-title":"The treatment of cardiospasm: analysis of a twelve year experience","volume":"22","author":"Olsen","year":"1951","journal-title":"J Thorac Surg"},{"key":"2024092717162221800_bib8","first-page":"284","article-title":"Cardiospasm in infancy and in childhood","volume":"38","author":"Moersch","year":"1929","journal-title":"Am J Dis Child"},{"key":"2024092717162221800_bib9","first-page":"97","article-title":"Achalasia in three siblings; a rare occurrence","volume":"52","author":"London","year":"1977","journal-title":"Mayo Clin Proc"},{"key":"2024092717162221800_bib10","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1002\/bjs.1800690209","article-title":"Achalasia in siblings","volume":"69","author":"Stoddard","year":"1982","journal-title":"Br J Surg"},{"key":"2024092717162221800_bib11","doi-asserted-by":"crossref","first-page":"709","DOI":"10.1001\/archpedi.1981.02130320023007","article-title":"Achalasia in siblings","volume":"135","author":"Bosher","year":"1981","journal-title":"Dis Child"},{"key":"2024092717162221800_bib12","doi-asserted-by":"crossref","first-page":"468","DOI":"10.1542\/peds.3.4.468","article-title":"Central autonomic dysfunction with defective lacrimation. 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