5 month old child with a history of "spitting

up".
Frontal image from an UGI shows the
patulous gastroesophageal junction and the
oblique angle of His.
Gastroesophageal reflux in an infant.
9 month old child with vomiting.
Frontal image from an UGI barium entering
the distal esophagus in a retrograde direction

Gastroesophageal reflux in an infant.
Frontal image from an UGI barium entering
the distal esophagus in a retrograde direction
and the patulous GE junction.
Gastroesophageal reflux in an infant.
Frontal image from an UGI barium entering
the proximal esophagus in a retrograde
direction.
Gastroesophageal reflux in an infant.
Frontal image from an UGI barium entering
the proximal esophagus in a retrograde
direction.
Gastroesophageal reflux in an infant.
12 year old girl, with no symptoms.
Frontal and lateral chest radiographs show a
paraspinous mass.
Nissen wrap.
18 year old girl with history of reflux.
Frontal image from an UGI performed through
gastrostomy tube a normal Nissen defect in
the gastric fundus (fundal cuff).
Normal Nissen defect.
Frontal image from an esophagram performed
through gastrostomy shows the
gastroesophageal junction contained within
the wrap.
Normal Nissen defect.
6 year old patient with Nissen fundoplication
for reflux.
Frontal image from an UGI shows a
paraesophageal hernia with the
gastroesophageal junction still below the
diaphragm.
Nissen fundoplication with paraesophageal
hernia.
Frontal image from an esophagram shows the
course of the esophagus past the herniated
cuff.
Nissen fundoplication with paraesophageal
hernia.
12 year old boy with dysphagia.
Frontal image from an UGI shows the
hourglass appearance of stomach, cinched at
the diaphragm hiatus.
Hiatal hernia.
18 year old girl with dysphagia.
Frontal image from an UGI the hourglass
appearance of stomach, cinched at the
diaphragm hiatus and the esophagus
opacified by a swallow, entering the top of
the herniated fundus.
Hiatal hernia.
5 month old child with vomiting following
Nissen fundoplication.
Frontal image from an UGI shows a distended
esophagus with failure of barium to pass
beyond the wrap. Barium delivered by tube in
the esophagus fails to pass into the stomach
filled with contrast by g-tube.
Esophageal obstruction from tight Nissen
fundoplication.
5 year old boy with Nissen fundoplication for
reflux.
Frontal image from an UGI shows a broken-
down wrap. There is gastric filling with
immediate reflux.
Breakdown of a Nissen wrap.
5 year old boy with Nissen fundoplication for
reflux.
Frontal image from a swallowing study in the
same child shows a patulous
gastroesophageal junction and impression
from the wrap.
Breakdown of a Nissen wrap.
4 month old infant with vomiting.
Frontal view from a Tc-99m-DTPA nuclear
medicine reflux study shows activity in the
distal esophagus.
Gastroesophageal reflux.
4 month old child with vomiting.
Sagittal ultrasound image shows a normal
closed gastroesophageal junction.
Normal.
4 month old child with vomiting.
Sagittal ultrasound image shows an open
gastroesophageal junction containing air.
Gastroesophageal reflux.
Gastroesophageal reflux.
Sagittal ultrasound image shows an open
gastroesophageal junction containing gas and
liquid.
Gastroesophageal reflux.