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KMID : 0816120000030010093
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Korean Journal of Pediatric Gastroenterolology and Nutrition
2000 Volume.3 No. 1 p.93 ~ p.97
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A Case of Pathologic Aerophagia with Mental Retardation Managed by Percutaneous Endoscopic Gastrostomy
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Lee Eun-Joo
Oh Hee-Jong
Song Ae-Ryong
Hwang Jin-Bok
Choi Eun-Jin
Lee Young-Hwan
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Abstract
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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.
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KEYWORD
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Aerophagia, Mental retardation, Esophageal air sign, Percutaneous endoscopic gastrostomy,
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