Document Detail

Abnormal esophageal anatomy associated with a congenital diaphragmatic hernia: report of a case.
MedLine Citation:
PMID:  11766070     Owner:  NLM     Status:  MEDLINE    
Gastroesophageal reflux associated with anatomic and functional abnormalities of the esophagus may be encountered following the repair of a congenital diaphragmatic hernia (CDH). We report herein the case of a newborn male infant with CDH found to have an air-filled paravertebral structure. Upper gastrointestinal series confirmed the presence of an ectatic esophagus with poor peristalsis and severe gastroesophageal reflux. The patient required jejunostomy after a safe period of total parenteral nutrition. He tolerated oral feeding following medical treatment without the need for antireflux surgery. The association of dysphagia, esophageal ectasia, and gastroesophageal reflux is rarely seen with CDH, and feeding intolerance is a self-limited disorder that does not usually necessitate antireflux surgery.
I Karnak; M E Senocak; F C Tanyel; N Büyükpamukçu
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Surgery today     Volume:  31     ISSN:  0941-1291     ISO Abbreviation:  Surg. Today     Publication Date:  2001  
Date Detail:
Created Date:  2001-12-18     Completed Date:  2002-02-28     Revised Date:  2006-08-03    
Medline Journal Info:
Nlm Unique ID:  9204360     Medline TA:  Surg Today     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  1005-7     Citation Subset:  IM    
Department of Pediatric Surgery, Hacettepe University Medical Faculty, Sihhiye, Ankara, Turkey.
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MeSH Terms
Deglutition Disorders / complications
Dilatation, Pathologic
Esophagus / pathology*
Gastroesophageal Reflux / complications,  physiopathology
Hernia, Diaphragmatic / complications,  congenital*,  pathology*
Infant, Newborn

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