Congenital paraesophageal hernia: The Montreal experience

Journal of Pediatric Surgery
Yasmine YousefSherif Emil

Abstract

Congenital paraesophageal hernia (CPEH) is the least common congenital diaphragmatic hernia. We performed an extensive review to further define this entity. A retrospective study of children with CPEH (types II-IV hiatal hernias) treated at two children's hospitals over a 25-year period (1988-2013) was performed. Fourteen patients were diagnosed at a median age of 35days (range 0-500), with one prenatal diagnosis. The most common symptoms were emesis in type II hernias (50%), and respiratory distress in types III and IV hernias (75% and 50%, respectively). Gastroesophageal reflux was concomitantly diagnosed in 50%, while concurrent congenital anomalies existed in 36%. A correct initial diagnosis was made in only 29% of cases. The diagnosis was most often established by UGI study (64%). The method of repair was laparoscopy in 21%, and laparotomy in 71%. An antireflux procedure was done in 13 (93%) patients. Long-term follow up data was available for 86% of patient. During follow-up, one patient recurred and one required sequential pneumatic esophageal dilations. There were no mortalities. CPEH is a rare entity often associated with gastroesophageal reflux disease and other congenital anomalies. Prognosis is excellent, but awaren...Continue Reading

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Citations

Oct 10, 2018·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Miao YuanGang Yang
Oct 8, 2020·American Journal of Medical Genetics. Part a·Caitlin A ChangMary Ann Thomas
Apr 28, 2021·JAAPA : Official Journal of the American Academy of Physician Assistants·Sarah Macios Tesoriero, Elissa Gross

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