SUMMARYThis patient presented at one year of age with a dry and persistent cough prodominantly nocturnal, pneumonia on two occasions, and signs and symptoms compatible with bronchial asthma. Due to the high incidence of gastroesophageal reflux in patients with esophageal atresia , an entity that could be responsible for his symptoms, diagnostic procedures were done to confirm this diagnosis, and treatment was begun with cisapride during one month, but without improvement. It was then that a esophagogastroscopy was performed and Barrett's esophagus was diagnosed. The patient was medicated with cisapride and omeprazole, and two months later a Thal Fundoplication was done. The patient has continued on cisapride and omeprazole with great improvement, being asymptomatic for a period of nine months, and having had only on one occasion a respiratory crisis due to bronchospasm. A repeat esophagogastroscopy has been planned one year after his operation. ( Rev Med Hered 1998; 9: ).KEY WORDS: Barrett's esophagus, gastroesophageal reflux, adenocarcinoma, esophageal neoplasm.
INTRODUCCIONSe presenta un niño quien presentaba desde el año de edad, tos seca exigente a predominio vespertino, presentando neumonía basal derecha y parahiliar derecha en dos ocasiones, y signos compatibles con asma bronquial. Se inició tratamiento con cisaprida ante la posibilidad de reflujo gastroesofágico durante un mes sin presentar mejoría. Se le realizó una esofagogastroscopía donde se diagnostica esófago de Barrett, recibiendo omeprazol y cisaprida, para luego procederse a una Fundoplicatura de Thal.Debido a la presentación infrecuente de esta entidad en niños se presenta este caso y se hace una revisión de la enfermedad.
Caso ClínicoJGCH, varón, nacido a las 43 semanas de gestación por cesárea, por falta de dilatación uterina, con buen Apgar, pesando 3050 gms y con 47 cms de talla. Madre de 25 años, sana, primer embarazo; padre de 25 años, sano salvo paresia congénita de los músculos externos del ojo izquierdo.
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