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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
2
|
| pubmed:dateCreated |
1991-7-23
|
| pubmed:abstractText |
The history, physical examination, and the results of the upper gastrointestinal series, esophageal manometry, 24-h pH recording, endoscopy, and biopsy are reviewed in 16 children (mean age of 10.6 years, range of 3 years 5 months to 15 years 3 months) who presented to the Alberta Children's Hospital with dysphagia ("food-sticking") without previously identified provocative disorders since January 1985. Of the 16 patients, 11 had had intermittent obstruction, and 7 had had intervention to relieve obstruction (2 Heimlich maneuvers, 1 intravenous glucagon, and 4 endoscopy after failure of intravenous glucagon). Although only five children had a recent history suggestive of gastroesophageal reflux, 12 had histologic evidence of reflux esophagitis (including 1 with a peptic stricture, 1 with "nutcracker" esophagus, and 1 with esophageal dysmotility characteristic of Down's syndrome) and all responded clinically to antireflux therapy. Of the remaining four patients, one had extrinsic esophageal compression from a vascular ring (right aortic arch with left ligamentum arteriosum), one had a single and another had recurrent episodes of food-sticking without any identified abnormality, and one declined investigation. In childhood, dysphagia may be the presenting symptom of reflux esophagitis in the absence of a history suggestive of gastroesophageal reflux and without evidence of a peptic stricture.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Feb
|
| pubmed:issn |
0277-2116
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
12
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
159-65
|
| pubmed:dateRevised |
2004-11-17
|
| pubmed:meshHeading |
pubmed-meshheading:2051265-Adolescent,
pubmed-meshheading:2051265-Biopsy,
pubmed-meshheading:2051265-Child,
pubmed-meshheading:2051265-Child, Preschool,
pubmed-meshheading:2051265-Deglutition Disorders,
pubmed-meshheading:2051265-Esophagoscopy,
pubmed-meshheading:2051265-Esophagus,
pubmed-meshheading:2051265-Female,
pubmed-meshheading:2051265-Gastroesophageal Reflux,
pubmed-meshheading:2051265-Humans,
pubmed-meshheading:2051265-Hydrogen-Ion Concentration,
pubmed-meshheading:2051265-Male,
pubmed-meshheading:2051265-Manometry,
pubmed-meshheading:2051265-Retrospective Studies
|
| pubmed:year |
1991
|
| pubmed:articleTitle |
The role of gastroesophageal reflux in pediatric dysphagia.
|
| pubmed:affiliation |
Department of Pediatrics, Alberta Children's Hospital, Canada.
|
| pubmed:publicationType |
Journal Article
|