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Paraesophageal hiatal hernias in children

M Yazici1, I Karaca, B Etensel

  • 1Adnan Menderes University, Turkey. myazici@adu.edu.tr

Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus
|December 4, 2003
PubMed

Insights

Paraesophageal hiatal hernias can cause significant symptoms and complications. Surgical repair, often combined with antireflux procedures, is recommended for effective treatment and improved patient outcomes.

Area of Science:

  • Gastroenterology
  • Thoracic Surgery
  • Pediatric Surgery

Background:

  • Paraesophageal hiatal hernias are rare and can present as mediastinal masses or cause antireflux mechanism failure.
  • Symptoms often include respiratory and gastrointestinal complaints.
  • In children, hiatal hernias can be asymptomatic or lead to severe complications, necessitating prompt surgical intervention.

Purpose of the Study:

  • To investigate the demographic data, diagnostic methods, symptoms, surgical approaches, and outcomes of patients treated for paraesophageal hiatal hernias.
  • To evaluate the effectiveness of surgical repair combined with antireflux procedures.

Main Methods:

  • Retrospective review of 19 patients treated for paraesophageal hiatal hernias.
  • Analysis of demographic data, diagnostic studies (Plain X-ray, contrast radiological study, esophagoscopy), symptoms, surgical procedures, and outcomes.
  • Surgical repair utilized thoracic, abdominal, or thoraco-abdominal approaches.

Main Results:

  • Respiratory and gastrointestinal complaints were the most common presenting symptoms.
  • Surgical repair was performed using various approaches.
  • Antireflux procedures were performed in 13 of the 19 patients.

Conclusions:

  • Paraesophageal hiatal hernias require surgical treatment due to the risk of complications.
  • Repair of the hiatus combined with antireflux surgery appears to yield satisfactory results for managing hiatal hernias.

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