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[Peptic esophagitis and scoliosis in children]
J C Hoeffel1, P Lascombes, M Schmitt
1Service de Radiologie, Hôpital d'Enfants, Vandoeuvre-les-Nancy.
Abstract:
Four pediatric cases of peptic esophagitis in patients with severe dorsolumbar scoliosis including three with a history of neurological disease provide the opportunity to point out that curvature of the spine fairly often causes development of gastroesophageal reflux. By displacing the anchoring points of the stomach and stretching the lower esophageal sphincter, scoliosis can be responsible for malposition of the cardia and fundus and for gastroesophageal reflux. Furthermore, plaster corsets increase intraabdominal pressure and may therefore promote gastroesophageal reflux.