PMC5177559_01
Contrast swallow image at the age of 2 months demonstrating a distended distal esophagus with a small tubular stomach consistent with microgastria. Initially, the findings were thought to show significant reflux with a suspected hiatal hernia.
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Milk scan (nuclear scintigraphy with technetium labeled formula feed) and contrast study of the upper gastrointestinal tract demonstrated significant reflux with a suspected sliding hiatal hernia (Fig. 1).
Line diagram of our TEGD. E, esophagus; PJ, proximal jejunum; RYJ, Roux-en-Y segment of jejunum; S, stomach; TC, transverse colon; TEGD, total esophageal gastric dissociation.
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A Heine-Mikulicz pyloroplasty was also done to achieve adequate gastric emptying (Fig. 2).