Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Massive hiatal hernia in children.

A L al-Arfaj1, M S Khwaja, P Upadhyaya

  • 1Department of Surgery, College of Medicine and Medical Sciences, King Faisal University, Dammam, Saudi Arabia.

The European Journal of Surgery = Acta Chirurgica
|August 1, 1991
PubMed
Summary

Pediatric massive hiatal hernias present differently than in adults, with vomiting and anemia being common symptoms. Surgical repair outcomes in children require careful consideration of congenital anomalies and prompt diagnosis to prevent complications.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Using Inactivated Polio Vaccine Vaccination Campaign Coverage Insights to Strengthen Nepal's Immunization Programme.

Kathmandu University medical journal (KUMJ)·2026
Same author

A Rare Case of Fibrous Hamartoma of Infancy: A Clinicopathological Diagnosis at a Tertiary Hospital, Eastern Nepal.

Case reports in pathology·2019
Same author

Obstetric injuries of the lower ureter.

Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology·2018
Same author

Muscular Hamartoma of Intestine Causing Intestinal Obstruction.

JNMA; journal of the Nepal Medical Association·2016
Same author

Pediatric inguinal hernia: Outcome of repair.

Saudi medical journal·2016
Same author

Lipopolysaccharide enhances mouse lung tumorigenesis: a model for inflammation-driven lung cancer.

Veterinary pathology·2013

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Congenital Abnormalities

Background:

  • Massive hiatal hernias in children present unique clinical challenges compared to adults.
  • Understanding these differences is crucial for timely diagnosis and effective management.
  • Congenital abnormalities frequently coexist with pediatric hiatal hernias.

Purpose of the Study:

  • To describe the clinical presentation, associated anomalies, and outcomes of massive hiatal hernias in pediatric patients.
  • To compare pediatric presentation and complications with adult counterparts.
  • To evaluate the effectiveness of surgical repair in this cohort.

Main Methods:

  • Retrospective review of ten pediatric patients undergoing massive hiatal hernia repair between 1982 and 1991.

Related Experiment Videos

  • Analysis of clinical symptoms, diagnostic methods (including barium meal), surgical procedures (Nissen fundoplication, hiatus repair), and postoperative complications.
  • Correlation of outcomes with associated congenital malformations and diagnostic delays.

    • Main Results:

    • Vomiting and anemia were the most frequent presenting symptoms (n=7 each), followed by respiratory distress (n=5).
    • Abdominal pain was an uncommon symptom.
    • Nissen fundoplication was the most common surgical approach (n=7). Five patients experienced postoperative complications, and two deaths occurred, likely due to diagnostic delays and comorbidities.

    Conclusions:

    • Pediatric massive hiatal hernias exhibit distinct clinical features and complications compared to adults.
    • Prompt diagnosis and surgical intervention are vital to minimize morbidity and mortality.
    • Associated congenital anomalies significantly impact patient outcomes.