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Gastro-oesophageal reflux and hiatal hernia in children

H L Smith

    The New Zealand Medical Journal
    |August 27, 1980
    PubMed

    Insights

    Gastro-oesophageal reflux in infants can cause vomiting and pulmonary issues like asthma. Surgical intervention effectively controlled reflux, preventing recurrences and allowing conservative treatment of strictures.

    Area of Science:

    • Pediatric Surgery
    • Gastroenterology

    Background:

    • Gastro-oesophageal reflux (GOR) and hiatal hernias are common in infants.
    • Complications include vomiting, stricture formation, and pulmonary issues.

    Observation:

    • Reviewed 11 pediatric cases: 1 para-oesophageal hernia, 10 GOR (with/without hiatal hernia).
    • Vomiting started in the first week of life; 3 cases developed strictures.
    • Pulmonary symptoms included intractable asthma and recurrent bronchiolitis.

    Findings:

    • Abdominal surgery successfully controlled GOR in all patients.
    • No hernia recurrences were noted on follow-up barium studies.
    • Fibrous reflux strictures were effectively treated with dilatations post-reflux control.

    Implications:

    • Surgical management of GOR in infants is effective and prevents recurrence.
    • Conservative management of fibrous strictures is feasible after successful reflux control.
    • Early intervention can mitigate severe complications of infant GOR.

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