DIAGNOSTICS AND SURGICAL TREATMENT OF CHILDREN WITH HIATAL HERNIA
Abstract
Aim. To study the results of diagnostics and treatment of children with hiatal hernia. Materials and methods. The analysis of the results of diagnostics and treatment of 41 patients at the department of surgery of the Scientific Center of Pediatrics and Pediatric Surgery for the period of2002-2019 was performed. The asymptomatic (accidentally detected) form was found in 2 (5%) children, para-esophageal hernia in 8 (20%) cases, and the sliding hernia was observed in 24 (58%) patients with symptoms of cardia failure. Secondary hernias against the background of gastrointestinal diseases were observed in 7 (17%) cases of which 5 children had gastroduodenitis and 2 patients had stomach ulcers as a background disease. Results and discussion. 26 (67%) patients received anti-reflux surgery by the Nissen method, and 13 (33%) patients received valvular gastroplication by the Thall method. The surgery resulted in the resolution of symptoms in all cases. Conclusion. The use of a set of instrumental diagnostic methods and comparative analysis of the data obtained allows/ identifying clinical variants of hiatal hernia, assess the functional state of the digestive tract, which is fundamentally important in the choice of pathogenetically based treatment, including surgical.
About the Authors
N. N. Akhparov
Scientific Center of Pediatrics and Pediatric Surgery
Tajikistan
Tajikistan
R. Z. Boranbaeva
Scientific Center of Pediatrics and Pediatric Surgery
Tajikistan
Tajikistan
S. B. Suleimanova
Scientific Center of Pediatrics and Pediatric Surgery
Tajikistan
Tajikistan
A. Zh. Orazalinov
Scientific Center of Pediatrics and Pediatric Surgery
Tajikistan
Tajikistan
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Review
For citations:
Akhparov N.N., Boranbaeva R.Z., Suleimanova S.B., Orazalinov A.Zh. DIAGNOSTICS AND SURGICAL TREATMENT OF CHILDREN WITH HIATAL HERNIA. Health care of Tajikistan. 2020;(2):15-20. (In Russ.)
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