Esophageal dilatation and reflux in neonates supported by ECMO after diaphragmatic hernia repair

C. J H Stolar, W. E. Berdon, P. W. Dillon, C. Reyes, S. J. Abramson, J. B. Amodio

Research output: Contribution to journalArticlepeer-review

18 Scopus citations

Abstract

Extracorporeal membrane oxygenation (ECMO) for survivors of surgical repair of congenital diaphragmatic hernia was used in 14 neonates. All showed marked esophageal dilatation on postoperative chest radiographs; the dilated esophagus simulated an air- or fluid-filled mass. All patients were later shown to have marked gastroesophageal reflux as well. The finding suggests a problem in swallowing exists before birth, which may explain the recent correlation between diaphragmatic hernia and hydramnios. The observation of a mediastinal mass in neonates with congenital diaphragmatic hernia may represent esophageal ectasia and may be related to significant gastroesophageal reflux.

Original languageEnglish (US)
Pages (from-to)135-137
Number of pages3
JournalAmerican Journal of Roentgenology
Volume151
Issue number1
DOIs
StatePublished - Jan 1 1988

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging

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