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Laparoscopic intervention for intrathoracic stomach in infants

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Abstract

Background: Intrathoracic stomach is an uncommon condition in infants. We report our experience managing such a condition successfully by laparoscopy in four patients. Methods: Patients’ ages at the time of operation ranged from 30 days to 14 months. In all cases, the intrathoracic stomach was easily pulled down into the abdominal cavity. The phrenoesophageal ligament was completely resected, and the enlarged hiatus was narrowed by intraabdominal suturing technique. The esophagus was wrapped with the mobilized fundus in a floppy fundoplication. Anchoring sutures were placed between the wrapping cuff and crura. Result: One patient had paraesophageal hernia (type 2), whereas the other had combined hiatal hernia (type 3). No adverse complications were observed in any of the cases. Symptomatic gastroesophageal reflux and radiographic recurrence of hernia were not seen in any case. The cosmesis was excellent in all cases. Conclusions: We conclude that laparoscopic repair for intrathoracic stomach is a safe and feasible method when preoperative evaluation is conducted adequately.

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References

  1. PR Allison (1951) ArticleTitleReflux, esophagitis, sliding hernia, and the anatomy of repair. Surg Gynecol Obstet 92 419–431

    Google Scholar 

  2. KD Anderson (1986) Congenital diaphragmatic hernia. KJ Welch JJ Randolph MM Ravitch Rowe O’Neill (Eds) Pediatric surgery. 4th ed. Year Book Medical Publishers Chicago 599

    Google Scholar 

  3. PO Buenaventura PR Schauer RJ Keenan JD Luketich (2000) ArticleTitleLaparoscopic repair of giant paraesophageal hernia. Semin Thorac Cardiolvasc Surg 12 179–185 Occurrence Handle1:STN:280:DC%2BD3crgtlKgtg%3D%3D

    CAS  Google Scholar 

  4. MB Edye J Canninn-Endres F Gattorno BA Salky (1998) ArticleTitleDurability of laparoscopic repair of paraesophageal hernia. Ann Surg 228 528–535 Occurrence Handle10.1097/00000658-199810000-00009 Occurrence Handle1:STN:280:DyaK1M%2FgsFSjsA%3D%3D Occurrence Handle9790342

    Article  CAS  PubMed  Google Scholar 

  5. M Hashemi JH Peters TR DeMeester JE Huprich M Quek JA Hagren PF Crookes J Theisen SR DeMeester LF Sillin CG Bremner (2000) ArticleTitleLaparoscopic repair of large type III hernia: objective follow-up reveals high recurrence rate. J Am Coll Surg 190 553–561 Occurrence Handle10.1016/S1072-7515(00)00260-X Occurrence Handle1:STN:280:DC%2BD3c3lvV2lsg%3D%3D Occurrence Handle10801022

    Article  CAS  PubMed  Google Scholar 

  6. TR Huntington (1997) ArticleTitleShort-term outcome of laparoscopic paraesophageal repair: a case series of 58 consecutive patients. Surg Endosc 11 894–898 Occurrence Handle10.1007/s004649900481 Occurrence Handle1:STN:280:ByiH3sbptFY%3D Occurrence Handle9294267

    Article  CAS  PubMed  Google Scholar 

  7. JD Luketich S Raja BS Hiran HC Fernando W Campbell NA Christie PO Buenaventura TL Wiegel RJ Keenan PR Schauer (2000) ArticleTitleLaparoscopic repair of giant paraesophageal hernia: 100 consecutive cases. Ann Surg 232 608–618 Occurrence Handle10.1097/00000658-200010000-00016 Occurrence Handle1:STN:280:DC%2BD3M%2Fhs1ehtw%3D%3D Occurrence Handle10998659

    Article  CAS  PubMed  Google Scholar 

  8. M Oddsdottir AL Franco WS Laycock JP Waring JG Hunter (1995) ArticleTitleLaparoscopic repair of paraesophageal hernia: new access, old technique. Surg Endosc 9 164–168 Occurrence Handle1:STN:280:ByqA38%2FnsVI%3D Occurrence Handle7597586

    CAS  PubMed  Google Scholar 

  9. DE Pitcher (1995) ArticleTitleSuccessful laparoscopic repair of paraesophageal hernia. Arch Surg 130 590–596 Occurrence Handle1:STN:280:ByqB1czksVI%3D Occurrence Handle7763166

    CAS  PubMed  Google Scholar 

  10. DL van der Peet EC Klinkenberg-Knol A Alonso Poza C Sietses QA Eijsbouts MA Cuesta (2000) ArticleTitleLaparoscopic treatment of large paraesophageal hernias: both excision of the sac and gastropexy are imperative for adequate surgical treatment. Surg Endosc 14 1015–1018 Occurrence Handle10.1007/s004640000199 Occurrence Handle1:STN:280:DC%2BD3M%2FovFertw%3D%3D Occurrence Handle11116408

    Article  CAS  PubMed  Google Scholar 

  11. DC van der Zee NMA Bax WLM Kramer B Mokhaberi BM Ure (2001) ArticleTitleLaparoscopic management of a paraesophageal hernia with intrathoracic stomach in infants. Eur J Pediatr Surg 11 52–54 Occurrence Handle10.1055/s-2001-12193 Occurrence Handle1:STN:280:DC%2BD3M3nsV2qsg%3D%3D Occurrence Handle11370985

    Article  CAS  PubMed  Google Scholar 

  12. JS Wu DL Dunnegan NJ Soper (1999) ArticleTitleClinical and radiological assessment of laparoscopic paraesophageal hernia repair. Surg Endosc 13 497–502 Occurrence Handle10.1007/s004649901021 Occurrence Handle1:STN:280:DyaK1M3ksVOmtA%3D%3D Occurrence Handle10227951

    Article  CAS  PubMed  Google Scholar 

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Acknowledgements

We thank Dr. Kenji Imura, former director of the Department of Pediatric Surgery at the Osaka Medical Center for Maternal and Child Health, for his guidance, helpful suggestions, and generous assistance.

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Authors and Affiliations

  1. Department of Surgery II, Kinki University, School of Medicine, 377-2 Ohno-Higashi, Osaka-Sayama, 589-8511, Japan

    M. Yagi, K. Nose, K. Yamauchi, T. Nogami, H. Yoshida & H. Ohyanagi

  2. Department of Pediatric Surgery, Osaka Medical Center for Maternal and Child Health, 840 Murodocho Izumi, 594-1101, Japan

    H. Okuyama & H. Kawahara

Authors
  1. M. Yagi
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  2. K. Nose
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  3. K. Yamauchi
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  4. T. Nogami
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  5. H. Yoshida
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  6. H. Okuyama
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  7. H. Kawahara
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  8. H. Ohyanagi
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Corresponding author

Correspondence to M. Yagi.

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Yagi, M., Nose, K., Yamauchi, K. et al. Laparoscopic intervention for intrathoracic stomach in infants . Surg Endosc 17, 1636–1639 (2003). https://doi.org/10.1007/s00464-002-8783-0

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  • DOI: https://doi.org/10.1007/s00464-002-8783-0

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