Transient mega-esophagus in a neonate with congenital diaphragmatic hernia.

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Bibliographic Details
Title: Transient mega-esophagus in a neonate with congenital diaphragmatic hernia.
Authors: Makhoul, I. R.1 makhoul@rambam.health.gov.il, Shoshany, G.2, Smolkin, T.1, Epelman, M.3, Sujov, P.1
Source: European Radiology. May2001, Vol. 11 Issue 5, p867-869. 3p.
Subjects: Esophageal cancer, Newborn infants, Hiatal hernia, Gastroesophageal reflux, Abdominal diseases, Esophagogastric junction
Abstract: Esophageal dilatation (ED) in neonates is rare. In the present case, ED was detected in a chest radiograph following repair of congenital diaphragmatic hernia (CDH) in a term neonate. A roentgenographic swallow study on the seventh day of life demonstrated ED and a sub-diaphragmatic stomach. The infant thrived adequately on enteral feeding. A swallow study on the twentieth day of life showed a normal-width esophagus with gastroesophageal reflux and small hiatus hernia. The longstanding herniated stomach in the fetus apparently caused kinking, edema, and obstruction of the gastroesophageal junction. This led to a significant ED and concealment of gastroesophageal reflux. We aim to arouse awareness about the occurrence of ED with CDH, and about its benign course under conservative management. [ABSTRACT FROM AUTHOR]
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Database: Engineering Source
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