A Case of Gastroesophageal Reflux (GER) after Repair of Esophageal Atresia; Manometric Study and Therapeutic Approach

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  • Yamada Noboru
    The First Department of Surgery, Nagoya University:Pediatric Surgery, Aichi Prefectural Colony Central Hospital
  • Ito Takahiro
    The First Department of Surgery, Nagoya University:Pediatric Surgery, Aichi Prefectural Colony Central Hospital
  • Nagaya Masahiro
    The First Department of Surgery, Nagoya University:Pediatric Surgery, Aichi Prefectural Colony Central Hospital
  • Sugito Tetsuyuki
    The First Department of Surgery, Nagoya University:Pediatric Surgery, Aichi Prefectural Colony Central Hospital
  • Niinomi Noriji
    The First Department of Surgery, Nagoya University:Pediatric Surgery, Aichi Prefectural Colony Central Hospital
  • Ishiguro Yukio
    The First Department of Surgery, Nagoya University:Pediatric Surgery, Aichi Prefectural Colony Central Hospital
  • Furukawa Hiromichi
    The First Department of Surgery, Nagoya University:Pediatric Surgery, Aichi Prefectural Colony Central Hospital
  • Okukawa Kyoichiro
    The First Department of Surgery, Nagoya University:Pediatric Surgery, Aichi Prefectural Colony Central Hospital
  • Watanabe Yoshio
    The First Department of Surgery, Nagoya University:Pediatric Surgery, Aichi Prefectural Colony Central Hospital
  • Iyomasa Yootaro
    The First Department of Surgery, Nagoya University:Pediatric Surgery, Aichi Prefectural Colony Central Hospital

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Other Title
  • Gross C 型食道閉鎖症根治術後の胃食道逆流症例の治療経験
  • Gross Cガタ ショクドウ ヘイサショウ コンジ ジュツゴ ノ イ ショク

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Description

A case of gastroesophageal reflux (GER) following operation for esophageal atresia and tracheoesophageal fistula was presented. He suffered from vomiting after esophago-esophagostomy. Upper gastrointestinal series demonstrated a wide His angle and GER. Slight increase in intragastric pressure caused decrease in the pressure at high pressure zone and GER consequently. GER was diagnostic by using a 3 lumen tube which recorded pressures at 3 cm intervals in the lower esophagus, lower high pressue zone and stomach. Transabdominal gastroesophageal fundoplication after Nissen was performed. He was relieved of vomiting after operation. GER was not detected on radiographic and manometric study.

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