Gastroesophageal reflux associated with large diaphragmatic hernias

摘要: Extracorporeal membrane oxygenation (ECMO) support has improved the outlook for some infants who have large diaphragmatic hernias (CDH). This resulted in a subset of survivors CDH with typically larger defects, more severe pulmonary hypoplasia, and associated pathologies. report describes authors' experience gastroesophageal reflux patients require ECMO. Contrary to previous reports, this was intractable. There appears be component gastric dysmotility. In treating reflux, medical therapy anterior fundoplication were not successful, Nissen combined pyloroplasty required control allow feeding. On basis experience, it is recommended that after repair, whom management failed, managed aggressively by surgery, early fundoplication, insertion feeding tube.