Some Problems in Surgical Management of Children with Hiatus Hernia. Issue 252 (April 1972)

• Record Type: Journal Article
• Authors: Lari, J.; Lister, James
• Is Part Of: Archives of disease in childhood. Volume 47:Issue 252(1972)
• Page Start: 201
• Page End: 206
• Publication Date: 1972-04
• Subjects: Children -- Diseases -- Periodicals; Infants -- Diseases -- Periodicals; 618.920005
• DOI: 10.1136/adc.47.252.201
• Languages: English
• ISSNs: 0003-9888

Abstract

Abstract : Thirty-three cases of hiatus hernia treated by operation in an 8-year period are reviewed. It is suggested that less delay in surgical intervention when a child is not responding to medical management might reduce the number of children who develop strictures as a result of gastro-oesophageal reflux and might improve the development of the child. Gastric fixation with gastrostomy not only improves the nutrition of a child before a major corrective procedure, but in a few cases may avoid more drastic operation. Though maximal acid secretion tests do not help to identify those cases likely to develop a stricture, it is, however, a useful procedure in indicating whether or not vagotomy should be added to fundal plication.