| Gaseous distention of the hypopharynx and cervical esophagus with nasal CPAP: a mimicker of pharyngeal perforation and esophageal atresia. | |
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MedLine Citation:
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PMID: 16096824 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Nasal continuous positive airway pressure (CPAP) has been used since 1975 as the initial treatment for respiratory distress syndrome (RDS) in very premature infants. Gaseous distention of the abdomen (CPAP belly) is a common secondary effect of CPAP. Gaseous distention of the hypopharynx is also common. OBJECTIVE: To determine the incidence of hypopharyngeal distention in infants on CPAP. MATERIALS AND METHODS: We performed a retrospective review of the chest radiographs of 57 premature infants treated with CPAP during a 4-week period to find the presence and degree of hypopharyngeal distention. RESULTS: Of the 57 radiographs, 14 (25%) revealed gaseous distention of the hypopharynx and/or cervical esophagus. On occasion, this raised concern for pharyngeal perforation or esophageal atresia. CONCLUSION: Awareness that CPAP-related hypopharyngeal distention is common should help radiologists avoid erroneous consideration of esophageal atresia or hypopharyngeal perforation. |
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Authors:
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David Walor; Walter Berdon; Nicole Anderson; Peter D Holt; Matthew Fox |
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Publication Detail:
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Type: Journal Article Date: 2005-08-12 |
Journal Detail:
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Title: Pediatric radiology Volume: 35 ISSN: 0301-0449 ISO Abbreviation: Pediatr Radiol Publication Date: 2005 Dec |
Date Detail:
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Created Date: 2005-11-25 Completed Date: 2006-09-14 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0365332 Medline TA: Pediatr Radiol Country: Germany |
Other Details:
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Languages: eng Pagination: 1196-8 Citation Subset: IM |
Affiliation:
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Department of Radiology, Children's Hospital of New York, Columbia University Medical Center, 3959 Broadway, New York, NY 10032, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Continuous Positive Airway Pressure
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adverse effects* Diagnosis, Differential Dilatation, Pathologic / etiology Esophageal Atresia / diagnosis*, epidemiology, therapy Esophagus / pathology*, radiography Humans Hypopharynx / pathology*, radiography Incidence Infant, Newborn Infant, Premature Infant, Very Low Birth Weight Intensive Care Units, Neonatal Pharyngeal Diseases / congenital, diagnosis*, epidemiology, therapy Retrospective Studies Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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