ISSN:
1437-9813
Keywords:
Key words Esophageal atresia
;
Tracheoesophageal fistula
;
Dysmotility
;
Cineradiography
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract Esophageal dysmotility is a common occurrence after successful repair of esophageal atresia (EA) and tracheoesophageal fistula (TEF). The etiology of this motility disorder, however, remains controversial. Cine-barium esophagograms were performed in 25 survivors of EA/TEF at a mean age of 30.5 months. A clinical evaluation was done at the same time and the results were classified as “excellent”, “good”, and “fair”. The study revealed that 88% of patients had dysmotile esophageal segments and segmental contractions. Normal peristalsis was seen in only 16% of patients and 64% showed to-and-fro movements. The bolus transit time was delayed in 60%. The clinical status of these patients correlated well with the cine-radiographic findings. Thus, abnormal motility of the esophagus, which may be inherent, exists in postoperative survivors of EA/TEF and may be responsible for the clinical status of these patients.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/s003830000348
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