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Hypertrophic pyloric stenosis associated with hiatal hernia
T Iijima1, T Okamatsu, M Matsumura
1Department of Surgery, Showa University School of Medicine, Tokyo, Japan.
Journal of Pediatric Surgery
|February 1, 1996
Insights
Hypertrophic pyloric stenosis (HPS) can occur with hiatal hernia (HH). Consider HPS in newborns with HH experiencing delayed gastric emptying.
Area of Science:
- Pediatric Surgery
- Neonatal Gastroenterology
Background:
- Hiatal hernia (HH) is a common congenital anomaly.
- Hypertrophic pyloric stenosis (HPS) is a distinct neonatal surgical emergency.
Observation:
- Three cases of HPS co-occurring with HH were observed between 1988 and 1994.
- Two of these cases were preoperatively diagnosed.
Findings:
- HPS should be considered in neonates diagnosed with HH.
- Delayed gastric emptying in HH cases may indicate concurrent HPS.
Implications:
- Early consideration of HPS in HH patients can improve diagnostic accuracy.
- Prompt diagnosis and treatment are crucial for managing co-existing HPS and HH.
Abstract:
From 1988 to 1994 the authors treated three patients with hypertrophic pyloric stenosis (HPS) who presented with hiatal hernia (HH). Two of the cases had been diagnosed preoperatively. HPS should be considered in HH cases in which a significant delay of gastric output is suspected in the early neonatal period.