Evaluation of Esophageal Pathology in Children Who Underwent Esophagogastroduodenoscopy

Akbulut, Ulaş Emre; Sağ, Elif; Çakır, Murat

doi:10.12956/tjpd.2016.251

Cited by 1 publication

(1 citation statement)

References 17 publications

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“…Karpelowsky et al have stated that HH is frequent following anti-reflux surgery in children [1]. In a recent study by Akbulut et al, it was mentioned that HH was detected in only 0.26% (n=8) of 3081 patients who underwent esophagogastroduodenoscopy [5]. Although we had a limited number of patients in our study group, none of the patients underwent a previous anti-reflux procedure, so they were considered as having congenital HHs.…”

Section: Discussionmentioning

confidence: 93%

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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Section: Discussionmentioning

confidence: 93%