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Journal of Indian Association of Pediatric Surgeons
     Journal of Indian Association of Pediatric Surgeons
Official journal of the Indian Association of Pediatric Surgeons         
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Year : 1998  |  Volume : 3  |  Issue : 4  |  Page : 123-125

Neonatal paraesophageal hiatus hernia.


Department of Pediatric Surgery, Kalawati Saran Children's Hospital, Lady Hardinge Medical College, New Delhi,-110001, India

Correspondence Address:
JK Mahajan
Department of Pediatric Surgery, Kalawati Saran Children's Hospital, Lady Hardinge Medical College, New Delhi,-110001
India
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Source of Support: None, Conflict of Interest: None


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ABSTRACT: Paraesophageal hiatus hernia with an intrathoracic stomach is an uncommon surgical emergency in the neonatal period. The clinical features are mainly dependent upon the associated intrathoracic stomach and its degree of volvulus. The symptoms may sometimes suggest the presence of esophageal atresia which is ruled out by the passage of a nasogastric tube. The contrast study of the upper gastrointestinal tract is diagnostic. Prompt surgical intervention in the form of reduction of the paraesophageal hernia, derogation of the stomach volvulus and repair of the esophageal hiatus is associated with good outcome.






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