Gastroesophageal reflux as manifestation of congenital pulmonary malformation about a case

Abstract

Introduction: Pulmonary malformations represent 7.5-18.7% of all congenital malformations. The bronchial anatomical variant can be dysplastic, absent or supernumerary, causing intra- and extrapulmonary symptoms, such as cardiac and gastrointestinal symptoms. Objective Include multidisciplinary management as a protocol in patients with gastroesophageal reflux disease that does not respond to conventional treatment. Methods: Infant less than 6 months of age, female, who presented regurgitation progressing to recurrent postprandial emetic episodes with weight impairment without clinical improvement. She was referred to the Gastropediatrics Unit of the Hospital Militar Universitario ̋ Dr. Carlos Arvelo ̏, with an esophagogram describing medial esophageal stricture and an upper digestive endoscopy study performed with findings in the esophagus of milky bezoar and concentric narrowing with a mural appearance, not passable. Which warranted esophageal dilation. On 2 occasions during sedation for endoscopic study, he presented desaturation. Evaluation by pediatric cardiology and CT of the Chest with 3D reconstruction was requested, concluding: congenital heart disease type ASD and CIV and indemnity of the arteriovenous system, congenital pulmonary malformation of the tracheo-bronchial type without pulmonary repercussions is evaluated by a multidisciplinary team. Currently the patient is eutrophic, without gastrointestinal or pulmonary symptoms, with adequate oral tolerance. Results: Patient currently with consistent weight and height, without gastrointestinal or respiratory manifestations. Conclusions: Despite the fact that