Follow-up Examinations of Conservatively and Surgically Treated Children with Hiatus Hernia

Bernhard, U. A.; Shmerling, D. H.

doi:10.1007/978-3-642-70276-1_16

Gastro-Esophageal Reflux in Childhood Problems of Splenic Surgery in Childhood

1985

DOI: 10.1007/978-3-642-70276-1_16

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Follow-up Examinations of Conservatively and Surgically Treated Children with Hiatus Hernia

U. A. Bernhard¹,

D. H. Shmerling

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Cited by 4 publications

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“…But later, some investigators dismissed the role of HH in pediatric GER disease (5,6). Controversy exists as to whether the presence of HH with GER is an indication for surgical treatment (7)(8)(9)(10).…”

mentioning

confidence: 99%

Hiatal Hernia in Pediatric Gastroesophageal Reflux

Gorenstein,

Cohen,

Cordova

et al. 2001

J. pediatr. gastroenterol. nutr.

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BackgroundThis study compares esophageal pH‐monitoring parameters of children with gastroesophageal reflux (GER) with or without hiatal hernia (HH) and determines the outcome of those with GER and HH.MethodsAmong 718 children with GER, 45 children (6%) with associated HH were retrospectively studied. They were divided into those with neurologically normal development (NN, n = 35) and those with neurologic disorders (ND, n = 10). The pH‐monitoring parameters of 27 of these (60%) were compared with pH‐monitoring parameters of 27 control children who had GER without HH.ResultsEsophageal clearance was longer in patients with HH compared with those without HH (P < 0.05). All 35 NN patients underwent a trial of conservative treatment, which failed in 9 patients (25.7%). Surgery was the initial treatment in 8 ND patients. Follow‐up was available in 20 NN and 10 ND patients. Nine of 11 conservatively treated NN patients improved. All NN (n = 9) and ND (n = 8) patients who underwent surgery improved. Conservative treatment failed in 2 NN and in 2 ND patients.ConclusionsPresence of HH in children with GER is associated with prolonged exposure of the esophagus to acid and a high failure rate of nonoperative treatment. However, medical treatment should be tried in NN children despite the significant failure rate.

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mentioning

confidence: 99%

Hiatal Hernia in Pediatric Gastroesophageal Reflux

Gorenstein,

Cohen,

Cordova

et al. 2001

J. pediatr. gastroenterol. nutr.

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Determinants of Gastroesophageal Reflux Disease in Adults With a History of Childhood Gastroesophageal Reflux Disease

El–Serag

Richardson

Pilgrim

et al. 2007

Clinical Gastroenterology and Hepatology

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Hiatal Hernia in Pediatric Gastroesophageal Reflux

Gorenstein

Cohen²,

Cordova³

et al. 2001

Journal of Pediatric Gastroenterology and Nutrition

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Follow-up Examinations of Conservatively and Surgically Treated Children with Hiatus Hernia

Cited by 4 publications

References 13 publications

Hiatal Hernia in Pediatric Gastroesophageal Reflux

Hiatal Hernia in Pediatric Gastroesophageal Reflux

Determinants of Gastroesophageal Reflux Disease in Adults With a History of Childhood Gastroesophageal Reflux Disease

Hiatal Hernia in Pediatric Gastroesophageal Reflux

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