Diaphragmatic Hernia after Laparoscopic Esophagomyotomy for Esophageal Achalasia in Pregnancy
Joint Authors
Khandelwal, Meena
Krueger, Chad
Source
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2010-10-18
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Background.
The optimal treatment for management of esophageal achalasia in pregnancy is controversial.
Little information exists about pregnancy outcome after successful myotomy.
Case.
Achalasia in pregnancy was diagnosed when a patient presented with pneumomediastinum from microrupture of the overdistended esophagus.
An attempt at surgical correction failed due to the development of aspiration pneumonia with general anesthesia.
Conservative medical therapy was undertaken, but fetal growth restriction developed.
The patient underwent interval surgical correction, but subsequent pregnancy 6 months later was complicated by acute diaphragmatic hernia necessitating preterm delivery.
Conclusion.
Prior to surgery in pregnancy, emptying the dilated esophagus via nasoesophageal tube suctioning maybe warranted to avoid aspiration.
Women, despite having undergone successful myotomy, should be counseled on the risks of pregnancy and to avoid pregnancy for at least 1 year thereafter.
American Psychological Association (APA)
Khandelwal, Meena& Krueger, Chad. 2010. Diaphragmatic Hernia after Laparoscopic Esophagomyotomy for Esophageal Achalasia in Pregnancy. ISRN Gastroenterology،Vol. 2011, no. 2011, pp.1-5.
https://search.emarefa.net/detail/BIM-505065
Modern Language Association (MLA)
Khandelwal, Meena& Krueger, Chad. Diaphragmatic Hernia after Laparoscopic Esophagomyotomy for Esophageal Achalasia in Pregnancy. ISRN Gastroenterology No. 2011 (2011), pp.1-5.
https://search.emarefa.net/detail/BIM-505065
American Medical Association (AMA)
Khandelwal, Meena& Krueger, Chad. Diaphragmatic Hernia after Laparoscopic Esophagomyotomy for Esophageal Achalasia in Pregnancy. ISRN Gastroenterology. 2010. Vol. 2011, no. 2011, pp.1-5.
https://search.emarefa.net/detail/BIM-505065
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-505065