Congenital diaphragmatic hernia manifesting after an altitude flight

Watanabe, Muneaki; Ichimura, Yukako; Takagaki, Toshiro; Iitsuka, Yasushi

doi:10.1016/j.surg.2016.05.013

Cited by 5 publications

(1 citation statement)

References 4 publications

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“…In this study, the proportion of the intrathoracic stomach that was found on imaging was smaller than that was found during surgery. The possible reason for this is that the herniation of abdominal organs in patients with diaphragmatic hernia are related to abdominal pressure.In patients with a diaphragmatic hernia, coughing, burping and ying can all increase the likelihood of abdominal hernias into the chest cavity [19,20] .So the position of the stomach that is detected during the procedure is not constant. The surgical procedure disrupts normal physiological conditions and may induce abnormal chest and abdominal pressures.For example, tracheal intubation and mechanical ventilation during surgery can lead to excessive in ation of the gastrointestinal tract and an increase in abdominal pressure.In addition, the thoracic surgical approach may cause partial compression of the lungs, increasing the possibility of gastrointestinal hernia entering the chest cavity.…”

Section: Discussionmentioning

confidence: 99%

Comparison of the incidence of intrathoracic stomach in Bochdalek's hernia detected by imaging with that detected by surgery

Pan,

Feng,

Gao

et al. 2024

Preprint

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Objective:This study investigates the role of preoperative imaging in predicting cases of the intrathoracic stomach in patients with left sided Bochdalek hernia (BH) compared to their postoperative surgical diagnosis. Methods: A retrospective review was conducted of all left sided BH patients treated at the Children’s Hospital of Chongqing Medical University from Jan 2012 to Dec 2021. According to the time of clinical symptoms, all cases divided into neonatal BH and late onset BH.The number of intrathoracic stomach cases identified on imaging and during surgery were statistically analyzed separately, and the ratio of preoperative imaging to postoperative surgical diagnosis was compared.Meanwhile, the ratio was analyzed separately for neonatal BH and late-onset BH. Results: A total of 108 patients were identified with left sided BH. The imaging analysis (39/108,36.1%) diagnosed a significantly lower proportion of patients with intrathoracic stomachs as compared to the surgical data (55/108,50.93%) (p = 0.027). The difference was even more apparent in the female patients (P=0.01).For both the neonatal and late onset left sided BH groups, a third of the patients were determined as intrathoracic stomachs by preoperative imaging. Conclusion: The proportion of intrathoracic stomach (gastric positioning) in left sided BHpatients detected by preoperative imaging was low in comparison to the postoperative data.One third of late onset BHs are confirmed by preoperative imaging examination as intrathoracic stomach, and these patients are more likely to develop severe symptoms

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Section: Discussionmentioning

confidence: 99%