Laparoscopic management of a paraesophageal hernia with intrathoracic stomach in infants

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Published on: September 11, 2021

D C van der Zee1, N M Bax, W L Kramer

  • 1Department Pediatric Surgery, University Children's Hospital Wilhelmina, Utrecht, The Netherlands. d.vanderzee@wkz.azu.nl

European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [Et Al] = Zeitschrift Fur Kinderchirurgie
|May 24, 2001
PubMed

Insights

Type III paraesophageal hernia with intrathoracic stomach is rare in children. Laparoscopic retrieval of the stomach and a Thai antireflux procedure were successfully performed in two pediatric cases.

Area of Science:

  • Pediatric surgery
  • Gastrointestinal surgery

Background:

  • Type III paraesophageal hernia, characterized by the stomach's presence in the thorax, is uncommon in pediatric populations.
  • This condition poses unique diagnostic and management challenges in children.

Observation:

  • Two pediatric patients presented with large Type III paraesophageal hernias.
  • Both patients exhibited significant intrathoracic stomach displacement.

Findings:

  • Laparoscopic surgical techniques were employed for the retrieval of the stomach from the thoracic cavity.
  • The procedures were successfully completed with the addition of a Thai antireflux procedure.

Implications:

  • This case series demonstrates the feasibility and efficacy of minimally invasive surgery for Type III paraesophageal hernia in children.
  • The findings support the use of laparoscopic approaches and the Thai antireflux procedure for managing this rare pediatric condition.

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