Partial thoracic stomach and esophageal hiatus hernia in infancy and childhood.

Abstract

INTRODUCTION The recent recognition of the syndrome of partial thoracic stomach in infancy has provided a diagnosis for a hitherto puzzling group of cases with vomiting as a leading symptom. As a result indefinite diagnoses such as marasmus or dystrophy are less frequent. This syndrome is associated with partial dislocation of the stomach within the thorax through the esophageal hiatus, the diaphragmatic leaves being intact. It is the purpose of this paper to review present knowledge of the subject with particular reference to the younger age groups and to indicate rational management based on a consideration of the pathogenesis and prognosis. In this task the author has been aided by practical experience at the Hospital for Sick Children, Great Ormond Street, where over 100 cases have been followed for some years (Waterston, 1954). Discussion will be illustrated by reference to a small series of 18 cases personally examined by the