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  • Oesophagusatresie  (1)
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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    European journal of pediatrics 101 (1967), S. 43-48 
    ISSN: 1432-1076
    Keywords: Oesophagusatresie ; gastro-oesophagealer Reflux
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Five children who were operated upon for esophageal atresia, were examined by lateral fluoroscopy with TV control, because they were suffering from recurring bronchitis and bronchopneumonia. In all these cases we found a normal anastomotic side, which showed frequently a barrier for passage of the bolus. This happened also without any manifested stenoses at the anatomotic level. Therefore the former upper esophageal pouch constituted a little reservoir. In all these cases we also observed a very manifest esophageal reflux. With each refluxwave the former upper pouch was refilled again, and reflux was seen from this part into the oro and laryngopharynx with cough and occasional aspiration. We are convinced that these phaenomena are responsible to the recurring bronchitis and bronchopneumonia. For treatment we suggest no eating, 2–3 hours before sleeping and elevating of the cranial upper part of the bed. It is possible, that an antireflux operation like fundoplicatio may be indicated.
    Type of Medium: Electronic Resource
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