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On Brachyoesophagus
Author(s) -
WAMBERG. ERIK
Publication year - 1947
Publication title -
acta pædiatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/j.1651-2227.1947.tb03707.x
Subject(s) - medicine , vomiting , bloody , etiology , peptic , pediatrics , peptic ulcer , surgery
SUMMARY The writer reports 4 eases of brachyoesophagus and briefly mentions the theories advanced regarding its etiology as well as the histological findings. Vomiting is the main symptom. It may appear immediately after birth or in the course of the first weeks of life, though some‐times not until solid food is taken. A characteristic symptom is daily vomiting occurring during meals. The vomitus is alimentary, slimy, rarely bloody, and the food is returned without effort. Frequently the course is periodical. Complications are: (1) Spasm at the site of the cardia with secondary dilatation, and (2) peptic ulcer of the oesophagus. Stress is laid upon the necessity of performing an X‐ray examination, and the technique of the latter is described. The treatment consists in frequent, small meals of a fluid diet, supplemented with administration of phenemal. In addition, older children should be given large quantities of water after meals in order to prevent oesophagitis.