Factors associated with hiatal hernia in neurologically impaired children

Background Hiatal hernia is clinically important because it impairs the protective mechanism that prevents gastroesophageal reflux‐induced injury. Diagnosing hiatal hernia is more important in neurologically impaired children because hiatal hernia‐induced gastroesophageal reflux often causes severe...

Full description

Saved in:
Bibliographic Details
Published in:Neurogastroenterology and motility 2022-02, Vol.34 (2), p.e14158-n/a
Main Authors: Yoo, In Hyuk, Joo, Jung Yeon, Yang, Hye Ran
Format: Article
Language:English
Subjects:
child
Children
Confidence intervals
Gastroesophageal reflux
Hernia
hiatal
Hiatal hernias
Malnutrition
nervous system diseases
Neurological diseases
Pneumonia
risk factors
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background Hiatal hernia is clinically important because it impairs the protective mechanism that prevents gastroesophageal reflux‐induced injury. Diagnosing hiatal hernia is more important in neurologically impaired children because hiatal hernia‐induced gastroesophageal reflux often causes severe complications such as aspiration pneumonia or malnutrition. We aimed to evaluate the patient characteristics and early predictors of hiatal hernia in neurologically impaired children. Methods We retrospectively investigated 97 neurologically impaired children who underwent esophagogastroduodenoscopy and upper gastrointestinal series between March 2004 and June 2019. Demographic and clinical characteristics, as well as endoscopic and radiological findings, were statistically analyzed. Results Of the 97 children recruited, 22 (22.7%) had hiatal hernia. When comparing the non‐hiatal hernia group with the hiatal hernia group, neurological disease longer than 6 months (odds ratio 10.9, 95% confidence interval 1.2–96.5), wasting (odds ratio 4.6, 95% confidence interval 1.3–16.3), enteral tube feeding (odds ratio 9.2, 95% confidence interval 1.6–53.0), and history of aspiration pneumonia (odds ratio 6.5, 95% confidence interval 1.2–34.5) were identified as early predictors of hiatal hernia. Conclusions Timely identification of predictors of developing hiatal hernia in neurologically impaired children is important for early diagnostic confirmation to initiate optimal medical or surgical treatment of hiatal hernia to avoid serious complications such as aspiration pneumonia and malnutrition. Percentage of patients with history of aspiration pneumonia and with wasting according to the status of hiatal hernia.
ISSN:1350-1925
1365-2982
DOI:10.1111/nmo.14158