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Congenital para-oesophageal hiatal hernia in infancy

A J Jawad1, A I al-Samarrai, S al-Mofada

  • 1Department of Paediatric Surgery, King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia.

Pediatric Surgery International
|May 1, 1998
PubMed

Insights

Congenital para-oesophageal hiatal hernia (PEHH) is rare in infants but requires surgery. This condition can lead to severe complications, necessitating prompt diagnosis and management.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Congenital Abnormalities

Background:

  • Congenital para-oesophageal hiatal hernia (PEHH) is a rare infant condition requiring surgical intervention.
  • Acquired PEHH can complicate Nissen fundoplication for gastro-oesophageal reflux in children.
  • PEHH, common in the elderly, presents risks like gastric volvulus, incarceration, and perforation.

Purpose of the Study:

  • To present six cases of congenital PEHH in infants.
  • To explore the potential etiology of congenital PEHH.
  • To review current surgical management strategies for congenital PEHH.

Main Methods:

  • Case series presentation of six infants with congenital PEHH.
  • Review of current literature on PEHH etiology and management.
  • Analysis of surgical approaches for congenital PEHH.

Main Results:

  • Six infants diagnosed with congenital PEHH were identified.
  • Discussion on the potential causes and contributing factors for congenital PEHH.
  • Evaluation of surgical outcomes and techniques used.

Conclusions:

  • Congenital PEHH, though rare, is a significant surgical condition in infants.
  • Understanding the etiology is crucial for effective management.
  • Surgical repair is indicated for congenital PEHH to prevent life-threatening complications.

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