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Esophageal function in esophageal atresia

Digestive Diseases and Sciences volume 26, pages 796–800 (1981)Cite this article

Abstract

In order to determine the spectrum of esophageal dysfunction in repaired esophageal atresia, 14 patients were evaluated with esophageal manometry, intraluminal pH recording, and radiology. Nine patients had no difficulty in swallowing but six had symptoms suggestive of gastroesophageal (GE) reflux. On pH recording, six had evidence of GE reflux. Basal sphincter pressure was 22 mm Hg in both reflux and nonreflux patients. No patient had manometric evidence of peristalsis in the proximal esophagus, but six had peristalsis in the distal esophagus. On radiology all had a normal peristaltic stripping wave in the cervical esophagus, and peristalsis was absent in the proximal thoracic esophagus in all patients but present in the distal esophagus in five of the 10 patients studied. Esophageal dysfunction is present in all patients with repaired esophageal atresia even when symptoms are absent.

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Affiliations

  1. Departments of Pediatrics, Radiology, Medicine and Pediatric Surgery, The Medical College of Wisconsin, Milwaukee, Wisconsin

    Steven L. Werlin MD, Wylie J. Dodds MD, Walter J. Hogan MD, Marvin Glicklich MD & Ronald Arndorfer

  2. Department of Pediatrics (Division of Gastroeterology), Milwaukee Children's Hospital, 1700 West Wisconsin Avenue, P.O. Box 1997, 53201, Milwaukee, Wisconsin

    Steven L. Werlin MD, Wylie J. Dodds MD, Walter J. Hogan MD, Marvin Glicklich MD & Ronald Arndorfer

  3. Department of Surgery, Milwaukee Children's Hospital, Milwaukee, Wisconsin

    Steven L. Werlin MD, Wylie J. Dodds MD, Walter J. Hogan MD, Marvin Glicklich MD & Ronald Arndorfer

  4. Departments of Radiology and Medicine (Division of Gastroenterology), Milwaukee Country Medical Complex, Milwaukee, Wisconsin

    Steven L. Werlin MD, Wylie J. Dodds MD, Walter J. Hogan MD, Marvin Glicklich MD & Ronald Arndorfer

Authors
  1. Steven L. Werlin MD
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  2. Wylie J. Dodds MD
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  3. Walter J. Hogan MD
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  4. Marvin Glicklich MD
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  5. Ronald Arndorfer
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Supported by grant AM 25731 from the National Institutes of Health.

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Werlin, S.L., Dodds, W.J., Hogan, W.J. et al. Esophageal function in esophageal atresia. Digest Dis Sci 26, 796–800 (1981). https://doi.org/10.1007/BF01309611

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  • DOI: https://doi.org/10.1007/BF01309611

Keywords

  • Public Health
  • Distal Esophagus
  • Esophageal Atresia
  • Esophageal Manometry
  • Sphincter Pressure