A Case of Pathologic Aerophagia with Mental Retardation Managed by Percutaneous Endoscopic Gastrostomy / 대한소아소화기영양학회지
Korean Journal of Pediatric Gastroenterology and Nutrition
;
: 93-97, 2000.
Article
in Korean
| WPRIM
| ID: wpr-167716
ABSTRACT
We experienced a case of pathologic aerophagia in a 10-year-old girl who has mental retardation. It was observed that the abdomen was non-distended in the morning and became maximally distended in the evening. Increased passage of flatus, but normal eructation, was noted. Roentgenographic examination showed 'esophageal air sign', abnormal air shadow on proximal esophagus adjacent to the trachea, in simple chest X-ray and visible air swallowing fluoroscopically. We tried a percutaneous endoscopic gastrostomy (PEG) to decompress swallowed air in stomach. We suggest that placement of a PEG catheter in early life, especially in mentally retarded patients, that can be used as desufflator, can prevent the complications of aerophagia. 'Esophageal air sign' may be very helpful for early detection of pathologic aerophagia.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Stomach
/
Thorax
/
Trachea
/
Gastrostomy
/
Persons with Mental Disabilities
/
Aerophagy
/
Eructation
/
Abdomen
/
Esophagus
/
Catheters
Type of study:
Screening study
Limits:
Child
/
Female
/
Humans
Language:
Korean
Journal:
Korean Journal of Pediatric Gastroenterology and Nutrition
Year:
2000
Type:
Article
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