Case reportsEsophageal atresia and achalasialike esophageal dysmotility
Section snippets
Case report
This 14-year-old Chinese boy had esophageal atresia and tracheoesophageal fistula diagnosed at birth, which were repaired on day 3 of life. Since the age of 5 months, recurrent nocturnal wheezing and coughing developed. He also had copious regurgitated saliva and food residue, which were mistaken as sputum by his parents. He then was treated with intermittent bronchodilator therapy as for asthma. Moreover, at 6 months, 8 years and 13 years of age, respectively, he had pneumonia that required
Discussion
Esophageal dysmotility is common in children with esophageal atresia and presents frequently as gastroesophageal reflux (GER). The incidence of GER varies from 41% based on symptoms only1 to 68% measured by pH monitor, 72% by Ba swallow, and 65% by scintiscan.2 The dysmotility may be congenital. Preoperative cinefluorographic study showed abnormal esophageal motility in children with esophageal atresia, suggesting preexisting neuromuscular abnormality of the esophagus in children with
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