PMID: 592067Dec 1, 1977

Lower esophageal sphincter dysfunction in esophageal atresia: nocturnal regurgitation and aspiration pneumonia

Journal of Pediatric Surgery
D W ShermetaJ A Haller

Abstract

The association between lower esophageal sphincter (LES) incompetence, gastroesophageal reflux, and recurrent pneumonia in patients who have undergone successful repair of esophageal atresia (EA) and tracheoesophageal fistula is demonstrated in this study. The efficacy of esophageal manometric examination in the evaluation of the LES in young children after EA repair is documented. This study also provides evidence that infants and children with LES incompetence associated with EA may have LES responsiveness to bethanechol. Once established by manometry, this responsiveness may be used to manage the patient until surgical repair would be advantageous.

References

Mar 1, 1966·The Annals of Thoracic Surgery·J A HallerJ Vanhoutte

Citations

Jun 1, 1986·Harefuah·Y ZivM Dintzman
Jun 5, 2003·Journal of Pediatric Surgery·D C LittleS A Engum
Jan 1, 1990·Archives of Disease in Childhood·J W PuntisR G Buick
Aug 21, 2013·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·J DhaliwalU Krishnan
Apr 1, 1982·American Journal of Surgery·M Curci, A Dibbins
Jan 1, 1984·Current Problems in Diagnostic Radiology·A R AltmanA M Kosloske
May 1, 1993·Journal of Pediatric Surgery·T ShonoT Sakaguchi
Jun 1, 1983·Clinical Pediatrics·K M Weesner, A Rosenthal
Jul 1, 1991·The British Journal of Surgery·D W Goh, R J Brereton
Nov 1, 1982·Acta paediatrica Scandinavica·J M CourielP D Phelan
Jul 31, 2008·Journal of Pediatric Gastroenterology and Nutrition·Sudarshan Rao JadcherlaColin D Rudolph

Related Concepts

Urecholine
Esophageal Atresia
Esophagogastric Junction
Esophagus
Gastroesophageal Reflux Disease
Tonometry
Aspiration Pneumonia
Postoperative Complications
Tracheoesophageal Fistula

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