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Aerophagia in a Toddler With Gastric Pull-up: An Unusual Combination Precipitating Severe Respiratory Distress.
MedLine Citation:
PMID:  23222108     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
ABSTRACT: Aerophagia is a common disorder in adults as well as children, which often goes unnoticed. In toddlers, it may lead to acute gastric dilatation, which, if severe enough, may lead to respiratory distress. We hereby report case of a child who had successfully undergone gastric pull-up approximately 18 months before and presented with gradually progressing dyspnea due to aerophagia from excessive crying. Expedient diagnosis from history, examination and x-ray study, and simple treatment by passage of feeding tube and gastric decompression relieved the distress and helped us overcome the acute crisis. Literature search revealed few cases of aerophagia after dissociative anesthesia. Management of aerophagia in children is discussed, and the importance of proper clinical diagnosis to prevent unnecessary interventions in an emergency scenario is highlighted.
Authors:
Prakhar Gyanesh; Amit Rastogi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pediatric emergency care     Volume:  28     ISSN:  1535-1815     ISO Abbreviation:  Pediatr Emerg Care     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-12-11     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8507560     Medline TA:  Pediatr Emerg Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1380-1     Citation Subset:  IM    
Affiliation:
From the Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.
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