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Related Experiment Videos

Esophageal function in esophageal atresia

S L Werlin, W J Dodds, W J Hogan

    Digestive Diseases and Sciences
    |September 1, 1981
    PubMed
    Summary

    Repaired esophageal atresia often causes esophageal dysfunction, even without swallowing symptoms. This study found persistent motility issues and gastroesophageal reflux in patients post-surgery.

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    Area of Science:

    • Pediatric Surgery
    • Gastroenterology
    • Esophageal Motility Disorders

    Background:

    • Esophageal atresia repair can lead to long-term esophageal dysfunction.
    • Understanding the spectrum of these dysfunctions is crucial for patient management.

    Purpose of the Study:

    • To evaluate the range of esophageal dysfunction in patients after surgical repair of esophageal atresia.
    • To correlate manometric, pH, and radiological findings with clinical symptoms.

    Main Methods:

    • Esophageal manometry, intraluminal pH monitoring, and radiology were used.
    • 14 patients with repaired esophageal atresia were assessed.
    • Clinical swallowing evaluation was performed.

    Main Results:

    • Six out of 14 patients exhibited symptoms of gastroesophageal reflux.
    • Six patients showed evidence of gastroesophageal reflux on pH monitoring.
    • Manometry revealed absent peristalsis in the proximal esophagus in all patients, with distal peristalsis in six.

    Conclusions:

    • Esophageal dysfunction, including motility abnormalities and reflux, is present in all patients following esophageal atresia repair.
    • Dysfunction can occur even in asymptomatic individuals.
    • Comprehensive evaluation is necessary to identify subclinical esophageal issues.

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