Hiatal Hernia

Hiatal hernia and intrathoracic stomach are uncommon in children. This condition may be congenital and inherited (Chana et al. 1996). Hiatal hernia may be secondary to congenital esophageal short-

Fig. 2.18. Double aortic arch. MRI with contrast medium. The dominant right aortic arch and smaller left arch encircle the airway and the esophagus. The posterior limb of the vascular ring is atretic (arrowhead)

Fig. 2.18. Double aortic arch. MRI with contrast medium. The dominant right aortic arch and smaller left arch encircle the airway and the esophagus. The posterior limb of the vascular ring is atretic (arrowhead)

ening (Chacko et al. 1998). Abnormally lax gastric ligamentous attachments and non-fixation of the stomach result in intrathoracic herniation in Marfan syndrome (Al-Assmi et al. 2005). Though usually an isolated anomaly, hiatal hernia can occur with other congenital abnormalities (Wang et al. 1993).

Esophageal clearance time and duration of gastroesophageal reflux are prolonged in children with hiatal hernia, thereby increasing esophageal exposure to acid and causing a higher failure rate of conservative therapy (Gorenstein et al. 2001).

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Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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