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Pediatric Surgery International

, Volume 12, Issue 8, pp 552–555 | Cite as

Surface electrogastrography in children with esophageal atresia

  • W. Cheng
  • L. Spitz
  • P. Milla
Main Topic

Abstract

Surface electrogastrography was performed in 18 patients with esophageal atresia (EA) and 10 normal controls to investigate the possible role of a congenital enteric nerve defect as a cause of gastroesophageal reflux (GER), which is common after repair of EA. The means of the dominant frequencies and ranges of the frequency distribution were compared. The dominant frequencies (0.047+/-0.007 Hz) in the EA group did not differ significantly from those of the controls (0.050±0.007 Hz,P >0.1), although 2 patients had bradygastria and 2 had tachygastria in the EA group. The range of the frequency distribution was significantly wider in the EA group compared with normal children (P = 0.002). The wide frequency distribution in children with EA suggests disturbed electrical activity of the stomach, which could be associated with poor electromechanical coupling and, hence abnormal gastric contraction.

Key words

Electrogastrography Gastroesophageal reflux Esophageal atresia 

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References

  1. 1.
    Holder TM (1993) Esophageal atresia and tracheoesophageal malformations. In: Ashcraft KW, Holder TM (eds) Pediatric surgery. Saunders, Philadelphia London Toronto Montreal Sydney Tokyo, pp 249–269Google Scholar
  2. 2.
    Jolley SC, Johnson DG, Roberts CC, et al (1980) Patterns of gastro-esophageal reflux in children following repair of esophageal atresia and distal tracheoesophageal fistula. J Pediatr Surg 15: 857–862PubMedGoogle Scholar
  3. 3.
    Chetcuti P, Phelan PD (1993) Gastrointestinal morbidity and growth after repair of esophageal atresia and tracheo-esophasgeal fistula. Arch Dis Child 68: 163–166PubMedGoogle Scholar
  4. 4.
    Montgomery M, Frenchner B (1993) Esophageal atresia: mortality and complications related to gastro-esophageal reflux. Eur J Pediatr Surg 3: 335–338PubMedGoogle Scholar
  5. 5.
    Devane SP, Ravelli AM, Bisset WM, et al (1992) Gastric antral dysrhythmias in children with chronic idiopathic intestinal pseudoobstruction. Gut 33: 1477–1481PubMedGoogle Scholar
  6. 6.
    Black TL, Fernandes ET, Ellis DG, et al (1991) The effect of tube gastrostomy on gastro-esophageal reflux in patients with esophageal atresia. J Pediatr Surg 26: 168–170PubMedGoogle Scholar
  7. 7.
    Carveth SW, Schlegal JF, Code CF, Ellis FH (1962) Esophageal motility after vagotomy, phrenicotomy, myotomy, and myomectomy in dogs. Surg Gynecol Obstet 114: 31–42PubMedGoogle Scholar
  8. 8.
    Haller JA, Brooker AF, Talbert JL, et al (1966) Esophageal function following resection: studies in newborn puppies. Ann Thorac Surg 2: 180–187PubMedGoogle Scholar
  9. 9.
    Csendes A, Oster M, Moler J, et al (1979) The effect of extrinsic denervation of the lower part of the esophagus on resting and cholinergic stimulated gastroesophageal sphincter in man. Surg Gynecol Obstet 148: 375–379PubMedGoogle Scholar
  10. 10.
    Kirkpatrick JA, Cresson SL, Pilling GP (1961) The motor activity of the esophagus in association with esophageal atresia and tracheoesophageal fistula. Am J Roentgenol 86: 884–887Google Scholar
  11. 11.
    Romeo G, Zuccarello B, Proietto F, et al (1987) Disorder of the esophageal motor activity in atresia of the esophagus. J Pediatr Surg 22: 120–124PubMedGoogle Scholar
  12. 12.
    Jolley SG, Herbst JJ, Johnson DG, et al (1979) Patterns of postcibal gastroesophageal reflux in symptomatic infants. Am J Surg 138: 946–950PubMedGoogle Scholar
  13. 13.
    Alvarez WC (1922) The electrogastrogram and what it shows. JAMA 78: 1116–1119Google Scholar
  14. 14.
    Nakazato Y, Landing BH, Wells TR (1986) Abnormal Auerbach plexus in the esophagus and stomach of patients with esophageal atresia and tracheoesophageal fistula. J Pediatr Surg 21: 831–837PubMedGoogle Scholar

Copyright information

© Springer-Verlag 1997

Authors and Affiliations

  • W. Cheng
    • 1
  • L. Spitz
    • 2
  • P. Milla
    • 3
  1. 1.Division of Paediatric Surgery, Department of SurgeryQueen Mary Hospital, The University of Hong KongPok Fu Lam RoadHong Kong
  2. 2.Paediatric Surgery Unit, Institute of Child Health, and Department of Paediatric SurgeryGreat Ormond Street Hospital for ChildrenLondonUK
  3. 3.Gastroenterology Unit, Institute of Child Health and Department of GastroenterologyGreat Ormont Street Hospital for ChildrenLondonUK

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