gastroesophageal reflux

Ein Reflux

von Speisebrei / Magensaft / Kontrastmittel aus einer Hiatushernie in den Ösophagus ist ein nicht seltener Spezialfall eines gastroösophagealen Refluxes. Nicht selten, weil eine Hiatushernie oft mit einer Refluxerkrankung vergesellschaftet ist.

Teenager

being investigated for gastroesophageal refluxCXR AP shows a catheter which has numerous linear marks along its length projecting within the esophagus which represents a pH probe whose sensor port, which appears as a minus (-) sign, is in appropriate position 3-5 cm above the gastroesophageal junction The diagnosis was gastroesophageal reflux with a mimic of a nasogastric tube.

Toddler with

long-standing vomiting after eating. Upper GI exam shows a markedly distended stomach with marked gastroesophageal reflux rising to the level of the oropharynx and entering into the trachea clearly outlining the trachea to the right of the esophagus on the AP image (left) and anterior to the esophagus on the lateral image (right).The diagnosis was aspiration secondary to gastroesophageal reflux due to gastric outlet obstruction.

Newborn with

bilious vomiting. AP image from an upper GI shows complete obstruction of the duodenum at the junction of the second and third parts of the duodenum and associated massive gastroesophageal reflux. A final image taken 5 minutes later was unchanged.The diagnosis was gastroesophageal reflux due to malrotation with midgut volvulus causing duodenal obstruction.

Preschooler

with reflux. Lateral spot image from an upper GI shows multiple small ulcerations in the esophageal mucosa and a fixed tight narrowing of the distal esophagus in the middle of the image which never opened up during the exam. Gastroesohageal reflux was also demonstrated throughout the examThe diagnosis was a distal esophageal stricture due to esophagitis from gastroesophageal reflux.