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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
Summary
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.