Gastroesophageal Reflux Secondary to Blunt Injury

To the Editor.  —In the February issue of the Archives, Navab and Texter¹ treated the subject of gastroesophageal reflux (GER) and its pathophysiologic concepts. There are many factors influencing GER; however, to my knowledge, blunt trauma has never been reported as a cause of reflux. I herein report two cases of GER secondary to a severe blunt injury.

Report of Cases.—Case 1.  —A 57-year-old healthy man was crushed by a rolling stone while he was working in a quarry. He received a severe injury of the pelvis with complex fractures, which were treated conservatively. Emergency laparotomy was required, and extraperitoneal rupture of the urinary bladder was sutured. There was no intraperitoneal injury. The patient recovered well, was discharged from the hospital three months later, and returned to his work eight months after the accident. He complained of regurgitation as soon as oral feeding was started after the