Diaphragmatic herniation following esophagogastric resectional surgery: an increasing problem with minimally invasive techniques?

Matthews, J. H.; Bhanderi, Shivam; Mitchell, Harriet; Whiting, John; Vohra, Ravinder; Hodson, James; Griffiths, Ewen A.

doi:10.1007/s00464-016-4899-5

Cited by 43 publications

(65 citation statements)

References 19 publications

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“…Thus, the true incidence of HH is most likely between 7% and 10%. These numbers are comparable to a recent meta-analysis and a recent UK study [18,19] that reported an incidence of 5% and 6%, respectively. HH after esophagectomy will become an increasing problem as cancer survival improves.…”

Section: Occurrencesupporting

confidence: 88%

Hiatal Hernia After Esophagectomy for Cancer

Brenkman

Parry

Noble

et al. 2017

The Annals of Thoracic Surgery

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Section: Occurrencesupporting

confidence: 88%

Hiatal Hernia After Esophagectomy for Cancer

Brenkman

Parry

Noble

et al. 2017

The Annals of Thoracic Surgery

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“…Patients with inoperable disease undergoing ‘open and close’ procedures, with no resection, were excluded. The data set included demographic, treatment and pathology details along with complications. The study was approved by the Queen Elizabeth Hospital clinical audit department.…”

Section: Methodsmentioning

confidence: 99%

Impact of postoperative complications on survival after oesophagectomy for oesophageal cancer

et al. 2020

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Background: Recent evidence suggests that complications after oesophagectomy may decrease shortand long-term survival of patients with oesophageal cancer. This study aimed to analyse the impact of complications on survival in a Western cohort. Methods: Complications after oesophagectomy were recorded for all patients operated on between January 2006 and February 2017, with severity defined using the Clavien-Dindo classification. Associations between complications and overall and recurrence-free survival were assessed using univariable and multivariable Cox regression models. Results: Of 430 patients, 292 (67⋅9 per cent) developed postoperative complications, with 128 (39⋅8 per cent) classified as Clavien-Dindo grade III or IV. No significant associations were detected between Clavien-Dindo grade and either tumour (T) (P = 0⋅071) or nodal (N) status (P = 0⋅882). There was a significant correlation between Clavien-Dindo grade and ASA fitness grade (P = 0⋅032). In multivariable analysis, overall survival in patients with Clavien-Dindo grade I complications was similar to that in patients with no complications (hazard ratio (HR) 0⋅97, P = 0⋅915). However, patients with grade II and IV complications had significantly shorter overall survival than those with no complications: HR 1⋅64 (P = 0⋅007) and 1⋅74 (P = 0⋅013) respectively. Conclusion: Increasing severity of complications after oesophagectomy was associated with decreased overall survival. Prevention of complications should improve survival.Funding information Queen Elizabeth Hospital Birmingham Charity (Upper Gastrointestinal Fund) Upper G.I. Blues of the consensus reporting guidelines on oesophageal complications 11 , a lack of standardization of complication reporting made understanding the relationship between complications and long-term survival difficult.

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“…Hiatal hernia occurs often after esophagectomy with incidence between 5-10% according to recent studies [5,6]. Lower BMI, transhiatal esophagectomy and minimally invasive esophagectomy were associated with higher incidence of postoperative hiatal hernia and the majority of cases (91%) were located in the left chest [5,7].…”

Section: Discussionmentioning

confidence: 99%

Hiatal hernia as a late complication after gastrectomy

Svoronos

et al. 2019

Asp Biomed Clin Case Rep

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Introduction: Hiatal hernia is an extremely rare complication after total gastrectomy. Case presentation: An 80-year-old man presented with acute abdominal pain, vomiting, and orthopnoea. He had a history of total gastrectomy with a Roux-en-Y reconstruction five years before. An abdominal computed tomography scan revealed a right hemithorax herniation with small bowel occlusion. Exploratory laparotomy showed volvulus of the small intestine in the hiatal hernia. Conclusions: Hiatal hernia is a rare complication after gastrectomy but early detection and treatment are important to avoid dismal outcomes.

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Diaphragmatic herniation following esophagogastric resectional surgery: an increasing problem with minimally invasive techniques?

Cited by 43 publications

References 19 publications

Hiatal Hernia After Esophagectomy for Cancer

Hiatal Hernia After Esophagectomy for Cancer

Impact of postoperative complications on survival after oesophagectomy for oesophageal cancer

Hiatal hernia as a late complication after gastrectomy

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