Clinical Features
Failure of the normal cardioesophageal sphincteric mechanism to prevent reflex of gastric contents into the esophagus occurs in some young infants. They regurgitate small amounts of gastric contents especially when the child is laid down after feeding. It is a problem of the first few months of life. Occasionally the child may also vomit rather forcefully.
Physical examination is essentially normal unless vomiting has been severe enough to prevent normal weight gain and adequate hydration.
Diagnosis
Barium swallow shows free passage of barium into the stomach. However when the infant is held in the upside down position. The cardia remains open, permitting reflux of barium from the stomach into the esophagus.
Treatment
Keeping the infant in the sitting or semisitting posotion by means of a specially devised bassinet is the principal treatment.
Frequent small feedings and thickening the formula with cereal are useful adjuvents.
Prognosis
The condition tends to correct itself over a period of months. Occasionally surgery is required.
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| Chalasia (Lax cardia) Treatment |
Physical examination is essentially normal unless vomiting has been severe enough to prevent normal weight gain and adequate hydration.
Diagnosis
Barium swallow shows free passage of barium into the stomach. However when the infant is held in the upside down position. The cardia remains open, permitting reflux of barium from the stomach into the esophagus.
Treatment
Keeping the infant in the sitting or semisitting posotion by means of a specially devised bassinet is the principal treatment.
Frequent small feedings and thickening the formula with cereal are useful adjuvents.
Prognosis
The condition tends to correct itself over a period of months. Occasionally surgery is required.
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