Coats R D, Helikson M A, Burd R S
Department of Surgery, Children's Hospital at University of Missouri Hospitals and Clinics, Columbia, MO 65212, USA.
J Pediatr Surg. 2000 Dec;35(12):1754-6. doi: 10.1053/jpsu.2000.19242.
BACKGROUND/PURPOSE: Although epigastric hernias are common, there are no reports that describe the presentation and treatment of these defects in children. The authors reviewed their experience with these hernias to develop recommendations for their management in this age group.
Medical records were reviewed for all children younger than 18 years who presented for evaluation of an epigastric hernia at our institution over 14 years. Data on presentation, operative findings, and postoperative results were obtained.
Forty children were evaluated for an epigastric hernia, representing 4% of all pediatric patients seen for treatment of a hernia. An epigastric hernia was first observed at birth in 12 patients (30%). All children presented with a mass in the epigastrium. The hernia was observed to be either symptomatic (abdominal wall pain or tenderness) or enlarging in 22 patients (55%). Thirty-eight children underwent repair, and 2 were lost to follow-up. There was no recurrence or morbidity associated with surgical repair of these defects.
Epigastric hernias are common in children and frequently present in infancy. Because most are either symptomatic or enlarging, the authors recommend repair of these defects at the time of presentation.
背景/目的：尽管上腹疝很常见，但尚无关于儿童此类缺损的表现及治疗的报道。作者回顾了他们治疗这些疝的经验，以制定该年龄组管理此类疝的建议。
回顾了14年间在本机构因评估上腹疝前来就诊的所有18岁以下儿童的病历。获取了关于临床表现、手术发现及术后结果的数据。
40名儿童接受了上腹疝评估，占所有因疝接受治疗的儿科患者的4%。12名患者（30%）在出生时首次发现上腹疝。所有儿童均表现为上腹部肿块。22名患者（55%）的疝有症状（腹壁疼痛或压痛）或在增大。38名儿童接受了修补手术，2名失访。这些缺损的手术修补未出现复发或并发症。
上腹疝在儿童中很常见，且常在婴儿期出现。由于大多数疝有症状或在增大，作者建议在出现时即对这些缺损进行修补。
