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conferenceseries
.com
Volume 8
Journal of Gastrointestinal & Digestive System
ISSN: 2161-069X
Gastro Congress 2018
August 20-21, 2018
August 20-21, 2018 | Rome, Italy
13
th
Euro-Global
Gastroenterology Conference
Congenital diaphragmatic hernia & some complications
Mykhailo Bilousov
Danylo Halytsky Lviv National Medical University, Ukraine
Statement of the Problem:
A 22‐year‐old nulliparous woman was announced at 22 weeks' gestation that her foetal had a left-
sided congenital diaphragmatic hernia (CDH): stomach, loops of bowel and a major portion of the liver herniated into the
chest, squashing the lung (lung hypoplasia) and pushing the heart over to right side of the chest.
Purpose:
The purpose of this study is to describe in retrospection the case of successful surgical repair carried out at The
Children’s Memorial Health Institute (Warsaw, Poland).
Methodology & Theoretical Orientation:
The probability of cardiovascular, digestive, neurologic or skeletal congenital
malformation, and persistent pulmonary hypertension as serious consequences was not excluded. There was a possibility to
have gastroesophageal reflux (GER), one of the major sequelae in infants who survive CDH repair. CDH might be a source of
feeding problems, failure to thrive, esophagitis and respiratory problems. Foetal karyotype was normal. The mother decided
to give birth to her son despite doctors advising her to terminate the pregnancy (there was no chance to survive in Ukraine).
Mother made every effort to find a clinic abroad that would agree to do Caesarean and a successful newborn operation.
Findings:
Themain conditions for ADubravsky’s survival were: a great mother’s love, prenatal diagnosis of CDH, formulation of
management strategy based on the prognostic elements, skilful Caesarean section, postnatal care of the newborn, stabilization,
prompt transportation, emergent surgery performed by great Polish specialists and compensatory growth of the lungs.
Conclusions & Significance:
The outcome was favourable with a 14‐year follow‐up. Epigastric pain, chronic cough and
recurrent bronchitis are reported. Thoracic deformities are observed. At the time of writing the child was growing satisfactory
and there were no apparent digestive disorders. The chance of the next baby having CDH was very small, so his sister was born
in 2012 without CDH.
Recent Publications:
1. Puligandla P and Skarsgard E D (2016) The Canadian pediatric surgery network congenital diaphragmatic hernia
evidence review project: developing national guidelines for care. Paediatrics & Child Health. 21(4):183-186.
2. Lally K P and Engle W (2008) Postdischarge follow-up of infants with congenital diaphragmatic hernia. Pediatrics.
121(3):627-632.
3. Peetsold M G et al. (2009) The long-term follow-up of patients with a congenital diaphragmatic hernia: a broad
spectrum of morbidity. Ped. Surg. Int. 25(1):1-17.
4. Jaillard S M et al. (2003) Outcome at 2 years of infants with congenital diaphragmatic hernia: a population based study.
Ann. Thorac. Surg. 75(1):250-256
5. Clark R H et al. (1998) Current surgical management of congenital diaphragmatic hernia: a report from the congenital
diaphragmatic hernia study group. J. Pediatr. Surg. 33(7):1004-1009.
Biography
Mykhailo Bilousov is currently a 4
th
year student of Danylo Halytsky Lviv National Medical University. He has given a retrospective analysis of the case of successful
surgical repair of congenital diaphragmatic hernia. The abstract is aimed to attract attention of the scientists all over the world to the CDH problem in order to find
new ways of its treatment. It showed the great interest of the author in improving the health and well-being of the population. He has focused on achieving positive
results in medicine and gaining improvement in the methods of treatment of severe and rare pathologies.
bilousovman@gmail.comMykhailo Bilousov, J Gastrointest Dig Syst 2018, Volume 8
DOI: 10.4172/2161-069X-C5-077