Clinical Presentation (Gastroesophageal Reflux =Reflux, Hiatus Hernia)

Figure haem_01_n.jpg: 6-month-old infant with remarkably thin extremities and large prodruding belly. The ribs are visible on the right lateral chest wall. It is a male infant with reduced state of nutrition. Notice the deficient development of the fatty tissue. The failure to thrive is due to a complicated gastroesophageal reflux diagnosed but not treated, persisting for some time already. Because there is no constipation, the cause of failure to thrive is not a Hirschsprung's disease.