Abnormal esophageal anatomy associated with a congenital diaphragmatic hernia: Report of a case

Gastroesophageal reflux associated with anatomic and functional abnormaliti es of the esophagus may be encountered following the repair of a congenital diaphragmatic hernia (CDH). We report herein the case of a newborn male in fant with CDH found to have an air-filled paravertebral structure. Upper ga strointestinal series confirmed the presence of an ectatic esophagus with p oor peristalsis and severe gastroesophageal reflux. The patient required je junostomy after a safe period of total parenteral nutrition. He tolerated o ral feeding following medical treatment without the need for antireflux sur gery. The association of dysphagia, esophageal ectasia, and gastroesophagea l reflux is rarely seen with CDH, and feeding intolerance is a self-limited disorder that does not usually necessitate antireflux surgery.