This paper is only available as a PDF. To read, Please Download here.
Abstract
Hiatal hernias are relatively uncommon in infants. While patients with small sliding
hiatal hernias may be treated medically with satisfactory results, the patients with
large hiatal hernias and with associated esophagitis should be seriously considered
for surgical intervention. The major factor affecting the results of surgical treatment
is the complication of secondary stenosis and/or shortening of the esophagus requiring
resection of a portion of the esophagus. Esophageal roentgenograms and esophagoscopy
help in the diagnosis of these patients but the final decision is best made during
surgery. A case is presented in which the entire stomach as well as the first and
second portion of the duodenum had herniated through the hiatus of the diaphragm.
Because the length of the esophagus was in doubt, the patient was prepared for a left
thoracoabdominal incision and a possible jejunal interposition procedure. By making
only the abdominal portion of the incision initially it was found that the hernia
could be reduced and repaired via the abdomen, thereby avoiding the thoracic portion
of the incision with its added complications.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to SurgeryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Partial thoracic stomach in childhood.Brit. M. J. 1959; 2: 787
- Pulmonary infections in children with a partial thoracic stomach.Arch. Dis. Childhood. 1960; 35: 481
- Congenital diaphragmatic hernia.Ann. Surg. 1945; 122: 569
- The surgery of infancy and childhood.in: W. B. Saunders Company, Philadelphia1953: 428-444
- Diaphragmatic hernia of children.Ann. Surg. 1942; 115: 701
- Diaphragmatic hernia in children.Am. J. Surg. 1940; 48: 582
- Hiatus hernia in childhood.Arch. Dis. Childhood. 1960; 35: 61
- Diaphragmatic hernia in infants under one year of age.A. M. A. Arch. Surg. 1961; 83: 561
- Hiatal hernia in children: Special reference to the short esophagus.Dis. Chest. 1960; 38: 495
- Hiatal hernia in infancy and childhood.Surgery. 1963; 57: 521
- Hiatus hernia in infants and children.New Zealand M. J. 1957; 52: 238
- Hiatus hernia in childhood.Acta radiol. suppl. 1955; 129: 1
- ed. 2. Pediatric surgery. vol. 1. Year Book Medical Publishers, Chicago1962
Article info
Publication history
Received:
May 7,
1964
Identification
Copyright
© 1965 Published by Elsevier Inc.
