Water soluable contrast swallow.
The tracheo oesophageal fistula clip is noted in the upper third of the oesphagus.
No contrast was seen to pass through the fistula, even on swallowing when prone.
However, with a large mouthful of contrast some was aspirated above the level of the TOF.
This was presumably due to an incoordinated swallow although this was not directly observed, and on subsequent assessment of the swallowing action, this appears normal.
Marked gastro oesophageal reflux was observed on lying which resulted in coughing.
A short shelf-like minor stricture was seen in the distal oesophagus, likely to represent a schatzi ring which maybe a consequence of the reflux.
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