Surgical reconstruction of the double lumen esophagus.

We describe an unusual case of iatrogenic double lumen esophagus in a young female who underwent a Nissen fundoplication surgery for gastroesophageal reflux disease (GERD) in infancy. The patient suffered from refractory symptoms, including dysphagia and failure to thrive before she was evaluated and noted to have a double-lumen in the distal esophagus leading to the stomach with both lumina being extremely narrow. This condition has only rarely been described in the literature.

Rectocele in children: a case report.

Rectocele is an abnormal protrusion of the anterior wall of the rectum into the vagina. When symptomatic, it will typically cause obstructed defecation. It is almost exclusively found in females with rare reports in males and never been described in the literature in children younger than 18 years of age so far.

Position paper on laparoscopic antireflux operations in infants and children for gastroesophageal reflux disease. American Pediatric Surgery Association.

The use of the laparoscopic approach to perform antireflux procedures has increased dramatically since its introduction in 1991. To date, no prospective randomized studies comparing open surgery to the minimal invasive approach in children have been reported. Many retrospective reviews and case series have demonstrated that laparoscopic antireflux procedures are safe and effective once the learning curve is achieved.

Morbidity and mortality of children following motor vehicle crashes.

Hypothesis: The use of passenger compartment safety measures has not led to decreases in pediatric morbidity or mortality in our population of patients.

Design: Retrospective review.

Setting: University, tertiary care, level I trauma center.