Congenital hiatus hernia: A case series
INTRODUCTION[|]Hiatus hernia is frequent in adults and rare in children; congenital hiatus hernia is even rarer. In this study, we describe a group of infants with congenital hiatus hernia and discuss its management.[¤]METHODS[|]Records of patients (male: 3, female: 4) who were diagnosed with congen...
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| Format: | Article |
| Language: | English |
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KARE Publishing
2019-06-01
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| Series: | İstanbul Kuzey Klinikleri |
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| Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=nci&un=NCI-58672 |
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| author | Didem Baskin Embleton Ahmet Ali Tuncer Mehmet Surhan Arda Hüseyin Ilhan Salih Çetinkurşun |
| author_facet | Didem Baskin Embleton Ahmet Ali Tuncer Mehmet Surhan Arda Hüseyin Ilhan Salih Çetinkurşun |
| author_sort | Didem Baskin Embleton |
| collection | DOAJ |
| description | INTRODUCTION[|]Hiatus hernia is frequent in adults and rare in children; congenital hiatus hernia is even rarer. In this study, we describe a group of infants with congenital hiatus hernia and discuss its management.[¤]METHODS[|]Records of patients (male: 3, female: 4) who were diagnosed with congenital hiatus hernia between 2010 and 2016 were extracted. Demographic data, presenting symptoms, diagnostic investigations, operative details, postoperative follow-up, and early and late postoperative complications were evaluated retrospectively.[¤]RESULTS[|]Four patients were female and three were male. One patient was diagnosed prenatally while the mean age at diagnosis for others was 18.6 months. Four patients had type IV hernia, 2 had type III hernia, and one had type I hernia. The diagnosis was confirmed by chest X-ray, computerized tomography (CT) and/or upper gastrointestinal series. The hiatal repair was done in all patients either by laparotomy or laparoscopy. During the procedure, 2 patients had Nissen fundoplication and 3 patients had Thal fundoplication. Recurrence of hernia occurred in the 2 patients who had Thal fundoplication.[¤]DISCUSSION AND CONCLUSION[|]Recurrence of sliding hernias with Thal fundoplication seem more frequent in the series. If the esophagogastric junction is present in the thorax, mediastinal dissection of the esophagus may be required to achieve a good abdominal esophagus structure, which will prevent a recurrence.[¤] |
| first_indexed | 2024-04-10T12:34:24Z |
| format | Article |
| id | doaj.art-b000f7658ae94c22a8264ee89bb8e3e4 |
| institution | Directory Open Access Journal |
| issn | 2148-4902 |
| language | English |
| last_indexed | 2024-04-10T12:34:24Z |
| publishDate | 2019-06-01 |
| publisher | KARE Publishing |
| record_format | Article |
| series | İstanbul Kuzey Klinikleri |
| spelling | doaj.art-b000f7658ae94c22a8264ee89bb8e3e42023-02-15T16:14:44ZengKARE Publishingİstanbul Kuzey Klinikleri2148-49022019-06-016217117510.14744/nci.2018.58672NCI-58672Congenital hiatus hernia: A case seriesDidem Baskin Embleton0Ahmet Ali Tuncer1Mehmet Surhan Arda2Hüseyin Ilhan3Salih Çetinkurşun4Department of Pediatric Surgery, Afyon Kocatepe University Faculty of Medicine, Afyonkarahisar, TurkeyDepartment of Pediatric Surgery, Afyon Kocatepe University Faculty of Medicine, Afyonkarahisar, TurkeyDepartment of Pediatric Surgery, Osmangazi University Faculty of Medicine, Eskisehir, TurkeyDepartment of Pediatric Surgery, Osmangazi University Faculty of Medicine, Eskisehir, TurkeyDepartment of Pediatric Surgery, Afyon Kocatepe University Faculty of Medicine, Afyonkarahisar, TurkeyINTRODUCTION[|]Hiatus hernia is frequent in adults and rare in children; congenital hiatus hernia is even rarer. In this study, we describe a group of infants with congenital hiatus hernia and discuss its management.[¤]METHODS[|]Records of patients (male: 3, female: 4) who were diagnosed with congenital hiatus hernia between 2010 and 2016 were extracted. Demographic data, presenting symptoms, diagnostic investigations, operative details, postoperative follow-up, and early and late postoperative complications were evaluated retrospectively.[¤]RESULTS[|]Four patients were female and three were male. One patient was diagnosed prenatally while the mean age at diagnosis for others was 18.6 months. Four patients had type IV hernia, 2 had type III hernia, and one had type I hernia. The diagnosis was confirmed by chest X-ray, computerized tomography (CT) and/or upper gastrointestinal series. The hiatal repair was done in all patients either by laparotomy or laparoscopy. During the procedure, 2 patients had Nissen fundoplication and 3 patients had Thal fundoplication. Recurrence of hernia occurred in the 2 patients who had Thal fundoplication.[¤]DISCUSSION AND CONCLUSION[|]Recurrence of sliding hernias with Thal fundoplication seem more frequent in the series. If the esophagogastric junction is present in the thorax, mediastinal dissection of the esophagus may be required to achieve a good abdominal esophagus structure, which will prevent a recurrence.[¤]https://jag.journalagent.com/z4/download_fulltext.asp?pdir=nci&un=NCI-58672hiatus hernianissen fundoplication; short esophagus; thal fundoplication. |
| spellingShingle | Didem Baskin Embleton Ahmet Ali Tuncer Mehmet Surhan Arda Hüseyin Ilhan Salih Çetinkurşun Congenital hiatus hernia: A case series İstanbul Kuzey Klinikleri hiatus hernia nissen fundoplication; short esophagus; thal fundoplication. |
| title | Congenital hiatus hernia: A case series |
| title_full | Congenital hiatus hernia: A case series |
| title_fullStr | Congenital hiatus hernia: A case series |
| title_full_unstemmed | Congenital hiatus hernia: A case series |
| title_short | Congenital hiatus hernia: A case series |
| title_sort | congenital hiatus hernia a case series |
| topic | hiatus hernia nissen fundoplication; short esophagus; thal fundoplication. |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=nci&un=NCI-58672 |
| work_keys_str_mv | AT didembaskinembleton congenitalhiatusherniaacaseseries AT ahmetalituncer congenitalhiatusherniaacaseseries AT mehmetsurhanarda congenitalhiatusherniaacaseseries AT huseyinilhan congenitalhiatusherniaacaseseries AT salihcetinkursun congenitalhiatusherniaacaseseries |