Cricopharyngeal dysfunction in childhood: Treatment by dilatations

Gabriel Dinari*, Yardena Danziger, Marc Mimouni, Yoram Rosenbach, Ilan Zahavi, Michael Grunebaum

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

20 Scopus citations


A 3-year-old child with cricopharyngeal dysfunction is reported. Swallowing difficulties, nasal regurgitation, and gagging developed at 2 months of age. Repeated aspirations and over 40 episodes of pneumonia necessitating multiple hospitalizations occurred up to 2 years of age, along with pharyngeal pooling of saliva and inability to swallow solid food. Barium was held up at the cricopharyngeal level, and a prominent esophageal impression was seen at the same level. Symptoms were completely alleviated after two esophageal dilatations by mercury dilators, and the relief persisted for the 6 months of follow-up. The diagnosis of cricopharyngeal dysfunction is discussed, and the necessity for manometric studies, in the face of often misleading radiologic appearance, is emphasized. It is suggested that early use of esophageal dilatations might prevent prolonged mor-bidity and afford long-term symptomatic relief.

Original languageEnglish
Pages (from-to)212-216
Number of pages5
JournalJournal of Pediatric Gastroenterology and Nutrition
Issue number2
StatePublished - Mar 1987


  • Achalasia
  • Cricopharyngeal dysfunction
  • Esophageal dilatation
  • Swallowing
  • Upper esophageal sphincter


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