Hiatal and paraesophageal hernia repair in pediatric patients

Hiatal and paraesophageal hernia (HH/PEH) can be congenital, resulting from embryologic abnormalities/genetic predisposition, or acquired, most commonly after gastro-esophageal surgery such as fundoplication. Minimizing circumferential esophageal dissection at the time of Nissen fundoplication has been shown to decrease the risk of acquired HH/PEH from 36.5 to 12.2%. Gastrointestinal, respiratory and constitutional symptoms, including anemia and failure to thrive, are common with high rates of associated gastroesophageal reflux.
Source: Seminars in Pediatric Surgery - Category: Pediatrics Authors: Source Type: research