scholarly journals A CASE OF ESOPHAGEAL HIATAL HERNIA OF LARGE MIXED TYPE SUCCESSFULLY TREATED WITH A LAPAROSCOPIC NISSEN'S FUNDOPLICATION

2007 ◽  
Vol 68 (10) ◽  
pp. 2486-2489 ◽  
Author(s):  
Satoshi SUGITA ◽  
Atsushi SASAKI ◽  
Norio SHIRAISHI ◽  
Seigo KITANO
Keyword(s):  
Hiatal Hernia ◽  
Mixed Type ◽  
Esophageal Hiatal Hernia

P73 CONTRIBUTION TO THE IMPROVEMENT OF CARDIAC LOAD BY RADICAL SURGERY FOR ADVANCED ESOPHAGEAL HIATAL HERNIA

2019 ◽  
Vol 32 (Supplement_2) ◽  
Author(s):  
Tanabe Shunsuke ◽  
Shirakawa Yasuhiro ◽  
Maeda Naoaki ◽  
Noma Kazuhiro ◽  
Fujiwara Toshiyoshi
Keyword(s):  
Hiatal Hernia ◽  
Mixed Type ◽  
Radical Surgery ◽  
Circulatory System ◽  
The Elderly ◽  
Esophageal Hiatus ◽  
Esophageal Hiatal Hernia ◽  
Before And After ◽  
Giant Hiatal Hernia ◽  
Suture Closure

Abstract Aim The aim of this study is to clarify whether radical surgery for advanced esophageal hiatal hernia contribute to the improvement of cardiac load. Background & Methods In Japan, endoscopic surgery for esophageal hiatal hernia is increasing. In many cases, patients with mixed type hernia have the main symptom of meal passage disorder due to gastric torsion. On the other hand, there are cases in which the contents of hernia squeeze the heart and lung and the symptoms of respiratory and circulatory system get worse. And there are cases where cardiac load is exacerbated and QOL is got worse. Therefore, in addition to conventional surgical adaptation criteria such as vomiting and food loss, cardiac load aggravation may be added to the new surgical adaptation criteria. In this study, we measured BNP before and after surgery in the case of mixed type hiatal hernia who underwent surgery at our hospital, and examined changes in cardiac load. Our surgical procedure of laparoscopic fundoplication is basically toupet fundplication. In the elderly patients, the formation of toupet fundplication is about half a cycle, which is slightly looser than usual, in order to avoid passage obstruction of the wrap. If the esophageal hiatus is too large and it is difficult to suture closure, try to reduce the air pressure of laparoscopic surgery as much as possible to reduce the resistance to the suture closure. And we try not to damage the diaphragm leg. Results We experienced 70 esophageal hiatal hernia surgeries in 2012-2018 and 45 patient had mixed type hiatal hernia. In mixed type hiatal hernia case, 18 cases (40.0%) had chest symptoms such as fatigue and dyspnea on exertion. And there were 12 cases in which BNP could be measured before and after surgery as an evaluation for the presence of cardiac load. Postoperative BNP decreased in 11 of 12 cases from preoperative values. Almost all cases chest symptoms improved. In the above 45 cases, there have been no cases of reoperation and very few cases have taken proton pump inhibitors after surgery. Conclusion Surgical cases of giant hiatal hernia may increase in the future, especially in the elderly. Surgery for giant hiatal hernia can contribute to the improvement of cardiac load.

scholarly journals An Elderly Woman With Gibbus Deformity and Physiologic Shock

2019 ◽  
Vol 3 (4) ◽  
pp. 432-433
Author(s):  
Shuntaro Sakai ◽  
Yoji Hirayama ◽  
Motoji Oki
Keyword(s):  
Differential Diagnosis ◽  
Hiatal Hernia ◽  
Elderly Woman ◽  
Inferior Vena ◽  
Vena Cava ◽  
Computed Tomography Imaging ◽  
Tomography Imaging ◽  
Esophageal Hiatal Hernia ◽  
Prompt Diagnosis ◽  
Obstructive Shock

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.

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

2008 ◽  
Vol 107 (8) ◽  
pp. 663-666 ◽  
Author(s):  
Chao-Yang Chen ◽  
Shih-Chun Lee ◽  
Chun-Wen Chen ◽  
Jen-Chih Chen
Keyword(s):  
Hiatal Hernia ◽  
Esophageal Perforation ◽  
Esophageal Hiatal Hernia

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

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

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

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.

Mixed-type hiatal hernia mimicking pulmonary cystic lesion diagnosed by oral urografin in the ED

2001 ◽  
Vol 19 (4) ◽  
pp. 317-319 ◽  
Author(s):  
Lengsu-William Chin ◽  
Hsiu-Po Wang ◽  
Te-I Weng ◽  
Wen-Jone Chen ◽  
Lit-Min Ng
Keyword(s):  
Hiatal Hernia ◽  
Mixed Type ◽  
Cystic Lesion
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