Abnormal esophageal anatomy associated with a congenital diaphragmatic hernia: report of a case.

Abstract:

: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.

journal_name

Surg Today

journal_title

Surgery today

authors

Karnak I,Senocak ME,Tanyel FC,Büyükpamukçu N

doi

10.1007/s005950170012

subject

Has Abstract

pub_date

2001-01-01 00:00:00

pages

1005-7

issue

11

eissn

0941-1291

issn

1436-2813

pii

10.1007/s005950170012

journal_volume

31

pub_type

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