Journal List > Korean J Pediatr Gastroenterol Nutr > v.3(1) > 1110528

Korean J Pediatr Gastroenterol Nutr. 2000 Mar;3(1):93-97. Korean.
Published online Mar 31, 2000.  https://doi.org/10.5223/kjpgn.2000.3.1.93
Copyright © 2000 The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition
A Case of Pathologic Aerophagia with Mental Retardation Managed by Percutaneous Endoscopic Gastrostomy
Eun Joo Lee, Ae Ryong Song, Eunjin Choi, Jin Bok Hwang, Hee Jong Oh,1 and Young Hwan Lee2
Department of Pediatrics, Catholic University of Taegu-Hyosung School of Medicine, Taegy, Korea.
1Department of Neurology, Catholic University of Taegu-Hyosung School of Medicine, Taegy, Korea.
2Department of Diagnostic Radiology, Catholic University of Taegu-Hyosung School of Medicine, Taegy, Korea.
Abstract

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.

Keywords: Aerophagia; Mental retardation; Esophageal air sign; Percutaneous endoscopic gastrostomy