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

Abstract

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.