Congenital Diaphragmatic HerniaSymptoms, Doctors, Treatments, Advances & More
Learn About Congenital Diaphragmatic Hernia
Congenital diaphragmatic hernia is a defect in the diaphragm. The diaphragm, which is composed of muscle and other fibrous tissue, separates the organs in the abdomen from those in the chest. Abnormal development of the diaphragm before birth leads to defects ranging from a thinned area in the diaphragm to its complete absence. An absent or partially formed diaphragm results in an abnormal opening (hernia) that allows the stomach and intestines to move into the chest cavity and crowd the heart and lungs. This crowding can lead to underdevelopment of the lungs (pulmonary hypoplasia), potentially resulting in life-threatening breathing difficulties that are apparent from birth.
Congenital diaphragmatic hernia has many different causes. In 10 to 15 percent of affected individuals, the condition appears as a feature of a disorder that affects many body systems, called a syndrome. Donnai-Barrow syndrome, Fryns syndrome, and Pallister-Killian mosaic syndrome are among several syndromes in which congenital diaphragmatic hernia may occur. Some of these syndromes are caused by changes in single genes, and others are caused by chromosomal abnormalities that affect several genes.
Congenital diaphragmatic hernia affects approximately 1 in 2,500 newborns.
Isolated congenital diaphragmatic hernia is rarely inherited. In almost all cases, there is only one affected individual in a family.
Cleveland Clinic Children's Outpatient Center
Darrell Cass is a Pediatric Surgeon and a General Surgeon in Cleveland, Ohio. Dr. Cass is rated as an Elite provider by MediFind in the treatment of Congenital Diaphragmatic Hernia. His top areas of expertise are Congenital Diaphragmatic Hernia, Diaphragmatic Hernia, Hernia, Ureteral Reconstruction, and Endoscopy.
ETSU Physicians & Associates- Gastroenterology
. Dr. Young is rated as a Distinguished provider by MediFind in the treatment of Congenital Diaphragmatic Hernia. His top areas of expertise are Jaundice, Acute Pancreatitis, Choledocholithiasis, Endoscopy, and Gastrectomy.
Texas Health Surgical Specialists
Dr. Prakash Gatta's passion for advancing automation in surgery through robotics and digitally enhanced surgical care led him to a career in 2007 as a board-certified general surgeon with fellowship training in foregut/esophageal, gastrointestinal and minimally invasive surgery. Since that time, he has held numerous clinical faculty positions, including within the University of Cincinnati and the University of Washington, and served on several committees in exploration of new frontiers in minimally invasive GI surgery.For the American Foregut Society, Dr. Gatta acted as chair of the Robotics & Co-Chair of the Advocacy Committees. He has also served on the Digital Surgery, Artificial Intelligence and Robotics Committees for the Society of American Gastrointestinal and Endoscopic Surgeons. He is a Fellow of the American College of Surgeons as well as the co-inventor of a single port laparoscopic access tool used to promote less invasive GI surgeries.Dr. Gatta earned his medical degree in Mumbai, India, before setting down roots in the United States. He completed his general surgery residency at the University of Illinois College of Medicine at Peoria, where he served as chief resident of his class. He completed his esophageal, gastrointestinal and minimally invasive surgery fellowship at The Oregon Clinic in Portland under the mentorship of Dr. Lee Swanstrom an internationally recognized Esophageal Surgeon.Beyond the technological aspects of surgery, Dr. Gatta's areas of clinical focus include Oncology of the upper foregut (Esophageal & Gastric Cancer), the treatment of GERD, hiatal/paraesophageal hernia and Esophageal motility disorders such as Achalasia.When not with his patients, he provides charity care locally and internationally in India. In his free time he enjoys traveling with his family, cycling, painting and cheering on his Seattle Seahawks. Dr. Gatta is fluent in English, Hindi, Telugu, and Arabic. Dr. Gatta is rated as a Distinguished provider by MediFind in the treatment of Congenital Diaphragmatic Hernia. His top areas of expertise are Congenital Diaphragmatic Hernia, Hiatal Hernia, Hernia, Endoscopy, and Hernia Surgery.
Summary: The purpose of this study is to determine if de-implementation of inhaled nitric oxide (iNO) in the post-natal resuscitation/stabilization phase affects the composite outcome of extracorporeal life support (ECLS) use and/or mortality, as well as ECLS use, mortality, and/or oxygenation in congenital diaphragmatic hernia (CDH) newborns and to establish the cost-effectiveness of de-implementing iNO a...
Summary: Congenital diaphragmatic hernia (CDH) occurs when the diaphragm fails to fully fuse and leaves a portal through which abdominal structures can migrate into the thorax. In the more severe cases, the abdominal structures remain in the thoracic cavity and compromise the development of the lungs. Infants born with this defect have a decreased capacity for gas exchange; mortality rates after birth have...
Published Date: December 01, 2019
Published By: National Institutes of Health