ESOPHAGEAL HIATAL HERNIA

Physiological shock requires prompt diagnosis and treatment in the emergency department. We present a case of physiological shock in a 91-year-old woman resulting from obstruction of the left atrium and inferior vena cava by a giant esophageal hiatal hernia, identified using computed tomography imaging. The patient’s age and history, including diet and eating behavior (namely needing to lie down immediately after a meal), and kyphotic posture were important factors to consider in establishing the differential diagnosis. While rare, a giant esophageal hiatal hernia should be considered in the differential diagnosis of obstructive shock.

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Denture Mis-swallowing in the Sliding Esophageal Hiatal Hernia Mimics Esophageal Perforation

Journal of the Formosan Medical Association ◽

10.1016/s0929-6646(08)60185-0 ◽

2008 ◽

Vol 107 (8) ◽

pp. 663-666 ◽

Cited By ~ 2

Author(s):

Chao-Yang Chen ◽

Shih-Chun Lee ◽

Chun-Wen Chen ◽

Jen-Chih Chen

Keyword(s):

Hiatal Hernia ◽

Esophageal Perforation ◽

Esophageal Hiatal Hernia

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Strangulation of the stomach and the transverse colon following laparoscopic esophageal hiatal hernia repair

Videosurgery and Other Miniinvasive Techniques ◽

10.5114/wiitm.2011.29251 ◽

2012 ◽

Vol 4 ◽

pp. 311-314

Author(s):

Jacek Hermann ◽

Tomasz Kościński ◽

Stanisław Malinger ◽

Jacek Szmeja ◽

Michał Monkiewicz ◽

...

Keyword(s):

Hernia Repair ◽

Hiatal Hernia ◽

Transverse Colon ◽

Hiatal Hernia Repair ◽

Esophageal Hiatal Hernia

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PS01.058: OLDER AGE AND DEMENTIA MIGHT BE CONSIDERED BACKGROUND FACTORS OF BLEEDING FROM EROSIVE REFLUX ESOPHAGITIS WITH ESOPHAGEAL ULCER

Diseases of the Esophagus ◽

10.1093/dote/doy089.ps01.058 ◽

2018 ◽

Vol 31 (Supplement_1) ◽

pp. 66-66

Author(s):

Tomohiro Kato ◽

Yukari Uno ◽

Hironao Ichikawa ◽

Yuhei Iwasa ◽

Chiemi Nakayama ◽

...

Keyword(s):

Logistic Regression ◽

Regression Analysis ◽

Cognitive Decline ◽

Hiatal Hernia ◽

Logistic Regression Analysis ◽

Reflux Esophagitis ◽

Older Age ◽

Esophageal Ulcer ◽

Background Factors ◽

Esophageal Hiatal Hernia

Abstract Background Hematemesis is one of the most eventful complications in patients with reflux esophagitis (RE). But bleeding is not observed in all patients who have RE with esophageal ulcer. We retrospectively studied the association of bleeding with background factors in patients with RE with esophageal ulcer. Methods Between January 2013 and January 2018, 30 patients were endoscopically diagnosed as RE with Los Angeles classification D (LA-D). These 30 patients were enrolled in our study. Fifteen of them were suddenly admitted to our hospital because the RE exhibited bleeding (B-group). Patients with Mallory-Weiss syndrome, peptic ulcers, and any malignancies were excluded as possible sources of the bleeding. Bleeding was not observed in the remaining 15 RE patients (NB-group). In these 30 patients, we retrospectively studied the relations between the bleeding and the following background factors: age, gender, body mass index (BMI), esophageal hiatal hernia, endoscopical atrophy of the gastric mucosa which is related to the secretion of gastric juice, cognitive decline (so called dementia), diabetes mellitus, and drugs (NSAIDs, PPI). Results The B-group included 5 males and 10 females. The NB-group also included 5 males and 10 females. The mean age of the B-group was 81.7 ± 8.2 (M ± SD) yrs, which was statistically (P < 0.05) greater than that of the NB-group, which was 71.5 ± 11.0 yrs. Older age, larger esophageal hiatal hernia, and cognitive decline (so-called dementia) were significantly (P < 0.05) associated with bleeding on logistic regression analysis. Multiple logistic regression analysis showed that older age and dementia were significantly (P < 0.05) associated with bleeding. Conclusion It is well known that esophageal hiatal hernia is a major factor in erosive RE, such as RE with LA-D. On the other hand, it was speculated that older RE patients and those with cognitive decline could not easily explain their RE complaints, and their condition might be left unattended for long periods. This lack of attention may result in sudden bleeding in patients with non-treated RE. Further studies are needed. Disclosure All authors have declared no conflicts of interest.

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Esophageal Hiatal Hernia in Infants and Children

Annals of Otology Rhinology & Laryngology ◽

10.1177/000348948109000420 ◽

1981 ◽

Vol 90 (4) ◽

pp. 387-391 ◽

Cited By ~ 5

Author(s):

Blair Fearon ◽

Israel Brama

Keyword(s):

Hiatal Hernia ◽

Sudden Infant Death ◽

Infants And Children ◽

High Rate ◽

Sudden Infant ◽

Esophageal Hiatal Hernia ◽

Esophageal Strictures ◽

Sick Children ◽

Medical Regime ◽

In Infants And Children

Although prior to 1950 esophageal hiatal hernia (EHH) in children was a seldom recognized entity, it has since then become well known. The symptoms in children are considerably different from those in adults. The cause of EHH is still somewhat in doubt. The term gastroesophageal reflux (GER) is often applied as a diagnosis where the diagnosis is uncertain. The authors have reviewed case histories of 56 patients admitted to the Hospital for Sick Children, Toronto, from 1972 to 1980. A comparison is made with 101 cases admitted between 1952 and 1960. It is our firm belief that all patients with symptoms of GER should be esophagoscoped for definitive diagnosis as well as for assessment of the esophagus. Because there is a high rate of respiratory complications in infants and children with GER, bronchoscopy should be carried out concurrently with the esophagoscopy. Infants with GER are at risk from the possibility of aspiration and it is possible that an unknown number of sudden infant death syndrome is due to this factor. The majority of patients with EHH can be managed by a medical regime. Those with esophageal strictures are treated by dilatation but many require surgical correction.

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