Role of lower esophageal sphincter incompetence in recurrent pneumonia after repair of esophageal atresia

Peter F. Whitington*, Dennis W. Shermeta, Dexter S Y Seto, Linda Jones, Thomas R. Hendrix

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

35 Scopus citations

Abstract

The etiology of recurrent aspiration pneumonitis after the successful repair of esophageal atresia has not been defined. In order to explain this occurrence, we performed esophageal manometric examinations on eight patients who had undergone repair of EA and tracheoesophageal fistula. Two patients who had had recurrent pneumonia had subnormal pressure of the lower esophageal sphincter; they also had a history of severe regurgitation, and a barium esophagram demonstrated free gastroesophageal reflux. The LES incompetence in these patients was apparently corrected by administration of bethanechol.

Original languageEnglish (US)
Pages (from-to)550-554
Number of pages5
JournalThe Journal of pediatrics
Volume91
Issue number4
DOIs
StatePublished - Oct 1977

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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