Congenital paraesophageal hernia: The Montreal experience

Yousef, Yasmine; Lemoine, Caroline; St-Vil, Dickens; Emil, Sherif

doi:10.1016/j.jpedsurg.2015.01.007

Cited by 16 publications

(40 citation statements)

References 34 publications

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“…Congenital HH is a rare condition thought to occur secondary to a developmental abnormality or genetic predisposition. Although a significant number of pediatric patients (8%) may be asymptomatic at the time of hernia discovery, prompt recognition and treatment of congenital HH is critical, due to the possibility of complications including GERD, dysphagia, ulceration, infarction, hemorrhage, and perforation (Imamoǧlu et al, 2005; Jawad et al, 1998; Karpelowsky, Wieselthaler, & Rode, 2006; Yousef, Lemoine, St‐Vil, & Emil, 2015). A number of hypotheses have been proposed as to why congenital HH form, but their pathogenesis is not well understood.…”

Section: Discussionmentioning

confidence: 99%

Congenital hiatal hernia segregating with a duplication in 9q22.31q22.32 in two families

Chang¹,

Donato

Hackmann

et al. 2020

American J of Med Genetics Pt A

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Congenital hiatal hernia (HH) is a rare congenital defect and is often described on a sporadic basis, but familial cases have also been reported. The mechanism of development is not well understood, and to our knowledge no specific genetic factors have been implicated to date. We report on seven individuals from two families with 9q22 duplication, who have variably associated features including congenital HH in four individuals. One family had an 1.09 Mb 9q22 duplication, and the other family had an overlapping 2.73 Mb 9q22 duplication. We review the genes in this region and discuss BARX1 (BarH-like homeobox gene 1) as a gene of interest.

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Section: Discussionmentioning

confidence: 99%

Congenital hiatal hernia segregating with a duplication in 9q22.31q22.32 in two families

Chang¹,

Donato

Hackmann

et al. 2020

American J of Med Genetics Pt A

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show abstract

“…Prenatal diagnosis of a HH is possible and usually made in the third trimester according to the literature, but abnormal ultrasonography findings such as mediastinal mass or tubular structure can be detected as early as second trimester [4, 8, 9]. The diagnosis was established prenatally in one of our patients.…”

Section: Discussionmentioning

confidence: 94%

“…With our experience, CT alone is also satisfactory for diagnosis, because it shows the anatomy of both sagittal and coronary views and additionally shows the mediastinum and lung lesions in the patient. Considering the burden radiation places on children, only one of these radiological investigations should be performed, depending on the experience of the radiologist and surgeon [4].…”

Section: Discussionmentioning

confidence: 99%

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Congenital hiatus hernia-A case series

Embleton

Tuncer

Arda

et al. 2018

North Clin Istanbul

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OBJECTIVE: 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. 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.

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“…Kundal ΑΚ et al performed a laparoscopic hiatal hernia repair in 4 infants (20). Van der Zee DC et al performed the same operation in 2 infants, managing, successfully, to reduce the stomach, converge the gap and perform a total fundoplication (23).…”

Section: Discussionmentioning

confidence: 99%

Paraesophageal Hernia as a Cause of Chronic Asymptomatic Anemia in a 6 Years Old Boy; Case Report and Review of the Literature

Patoulias

Kalogirou

Feidantsis

et al. 2017

Acta Med. (Hradec Kralove, Czech Repub.)

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A B ST R AC T Esophageal hiatal hernia is defined as the prolapse of one or more intra-abdominal organs through the esophageal hiatus. Four types are identified: type Ι or sliding hiatal hernia, type II or paraesophageal hernia (PEH), type III or mixed hernia and type IV. Congenital type II esophageal hiatal hernia is caused by a remaining gap after the formation of pleuroperitoneal membrane. We present a case of a six years old boy admitted to our department, appearing with asymptomatic anemia, who was incidentally diagnosed with Type II esophageal hiatal hernia. After diagnostic investigation, the prolapsing stomach pouch was reduced, the hernia sac was excised, the crura of diaphragm were converged and a total fundoplication was performed, via open method. The patient had an uncomplicated postoperative period. We conclude that: 1) esophageal hiatal hernia should be included within diagnostic approach of a child with chronic non-hereditary anemia, 2) after a Type II esophageal hiatal hernia is diagnosed, a hernia repair surgery is indicated in short time, due to the severity of possible complications and 3) through the performance of total fundoplication, it is secured that the subdiaphragmatic abdominal part of esophagus will be retained, preventing the development of post-operative gastroesophageal reflux disease.

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Congenital paraesophageal hernia: The Montreal experience

Cited by 16 publications

References 34 publications

Congenital hiatal hernia segregating with a duplication in 9q22.31q22.32 in two families

Congenital hiatal hernia segregating with a duplication in 9q22.31q22.32 in two families

Congenital hiatus hernia-A case series

Paraesophageal Hernia as a Cause of Chronic Asymptomatic Anemia in a 6 Years Old Boy; Case Report and Review of the Literature

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