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Radiology, Vol 140, 67-71, Copyright © 1981 by Radiological Society of North America

ARTICLES

Esophageal dysmotility and the sudden infant death syndrome: clinical experience

WL Schey, R Replogle, C Campbell, P Meus and RA Levinsky

Symptoms equated with "threatened" or "near-miss" sudden infant death syndrome (SIDS) were noted during feedings in 4 infants. In each case, barium esophagrams revealed dysmotility. Acute "near-miss" symptoms required cardiopulmonary resuscitation during esophagography in 2 infants. The authors suggest that esophageal dysmotility is a cause of "near-miss" SIDS and most likely is responsible for more fatalities than commonly realized. The cause-and-effect relationship is explained by a vagovagal reaction. Etiologies of esophageal dysmotility and possible prophylactic measures are discussed.




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