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Surgical or conservative treatment in hiatal hernias in children: a new decisive parameter
Insights
High gastric acidity in children with cardiohiatal anomalies predicts poor response to postural therapy. Measuring gastric acid levels is recommended for patients with hiatus hernia, suggesting early surgery for those with hyperacidity.
Area of Science:
- Pediatric Gastroenterology
- Surgical Research
Background:
- Cardiohiatal anomalies are common in children.
- Gastric acidity's role in treatment outcomes is not fully understood.
Purpose of the Study:
- To investigate the relationship between gastric acidity and treatment response in children with cardiohiatal anomalies.
- To determine if gastric acidity can predict treatment outcomes.
Main Methods:
- Maximal gastric acid output (MAO) investigations were performed on 155 children.
- Patients were categorized based on response to postural therapy and presence of ulcerlike syndrome.
Main Results:
- Children with failed postural therapy or ulcerlike syndrome exhibited significantly higher MAO values.
- Hyperacidity correlated with a higher likelihood of poor response to postural therapy.
Conclusions:
- Gastric acidity is a significant factor in evaluating cardiohiatal anomalies.
- Measuring gastric acidity is advisable for hiatus hernia patients.
- Early surgical intervention should be considered for hyperacidic patients.
Abstract:
The authors have investigated the role of gastric acidity in the evaluation of cardiohiatal anomalies. Results are given of maximal gastric acid (MAO) investigations made in 155 children. Children in whom postural therapy failed and those with an ulcerlike syndrome have much higher MAO values than does the group who responded well to postural therapy and to a control group. Hyperacidity indicates a high probability of a poor response to postural therapy. Therefore measurement of gastric acidity is advisable in all patients with hiatus hernia, and early surgical therapy should be recommended in those with hyperacidity.