Hiatus Hernia Without Esophageal Reflux

Gahagan, Thomas

doi:10.1001/archsurg.1967.01330160065008

Cited by 14 publications

(8 citation statements)

References 2 publications

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“…1,3,4,25 Gastric wall necrosis has been seen in humans in association with herniation of the stomach. 37 High complication rates of dysphagia, 'gas bloat' and the inability to belch have also been reported in humans in the past. 17,41 These complications are associated with the technique being performed as originally described by Nissen in 1956.…”

Section: Surgical Treatmentmentioning

confidence: 95%

“…1,5 Unless associated with a sliding HH (that is a mixed HH), they are rarely associated with gastrooesophageal reflux. 5,25,37 In most human cases, the paraoesophageal HH enlarges with time and symptoms are related to the abnormal intrathoracic location of the stomach. 5 In humans, the initial clinical signs of dysphagia, postprandial nausea and vomiting are a result of impaired gastric emptying caused by mechanical obstruction.…”

Section: Pathophysiology Of Paraoesophageal Herniamentioning

confidence: 99%

“…5 With paraoesophageal HH the function of the LOS tends to be normal and clinical signs are associated with gastric herniation. Surgical treatment of paraoesophageal hernias is aimed at maintaining reduction of the hernia and closing the hernial opening, 5,37 whereas surgical treatments of sliding and mixed HH should, in addition, aim to restore normal LOS function. 6 Surgical techniques used to achieve these goals include hiatal closure, gastropexy, oesophagopexy, antireflux procedures, feeding tubes and combinations of the above.…”

Section: Surgical Treatmentmentioning

confidence: 99%

“…25 Any human patient with a paraoesophageal HH is a candidate for immediate surgical treatment due to the potential for life-threatening complications such as gastric bleeding, ischaemia and perforation when intrathoracic strangulation or volvulus occurs. 5,37,38 Medical treatment is ineffective in these cases. If an animal is severely debilitated or has signs attributable to herniation of abdominal organs, a surgical resolution should be implemented following medical stabilisation.…”

Section: Surgical Treatmentmentioning

confidence: 99%

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Hiatal hernia controversies ‐ a review of pathophysiology and treatment options

Sivacolundhu¹,

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Marchevsky³

2002

Aust Veterinary J

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Hiatal hernia is not completely understood in humans or animals. It has a complex multifactorial aetiology and pathophysiology. A primary disturbance of the lower oesophageal sphincter has not been shown in humans or animals. Knowledge of pathophysiology is necessary to institute appropriate treatment. Medical and/or surgical therapy is not indicated in asymptomatic cases. Medical treatment should be used for up to 1 month in stable cases of sliding hiatal hernia. Paraoesophageal hiatal hernias and any large sliding hiatal hernia should be considered for prompt surgical treatment. Surgical techniques used depend on the type of hiatal hernia present. Surgical treatment of hiatal hernia cases should be performed by experienced surgeons, and must include hiatal closure and gastropexy. The Nissen fundoplication procedure has been discontinued in the veterinary field due to poor success rates, coupled with the published view that there is a marked difference in pathophysiology between humans and dogs. Reported complications associated with the original Nissen fundoplication technique are identical in the human and veterinary literature. There have been no complications reported with use of the modified or 'floppy' Nissen fundoplication in dogs. Both oesophagopexy and Nissen fundoplication require further evaluation in small animals.

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Section: Surgical Treatmentmentioning

confidence: 95%

Section: Pathophysiology Of Paraoesophageal Herniamentioning

confidence: 99%

Section: Surgical Treatmentmentioning

confidence: 99%

Section: Surgical Treatmentmentioning

confidence: 99%

See 2 more Smart Citations

Hiatal hernia controversies ‐ a review of pathophysiology and treatment options

Sivacolundhu¹,

Read

Marchevsky³

2002

Aust Veterinary J

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“…3). This may explain reports of sliding HHs without GERD [7]. This may explain reports of sliding HHs without GERD [7].…”

mentioning

confidence: 79%

Laparoscopic reconstruction of gastroesophageal anatomy for the treatment of reflux disease

1995

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This paper presents the technique and results of an operation that restores normal anatomical and physiological antireflux mechanisms for the treatment of gastroesophageal reflux disease (GERD). The Hill procedure was modified beginning in 1973, evolving into an operation that has been standard in our practice since 1987. Major changes included total fixation of the abdominal esophagus and elimination of phrenoesophageal bundle plication. We began performing the procedure laparoscopically in 1991 and simultaneously began a study to look at our results. This is the first report of the first 44 patients operated on from October 1991 through March 1994. There was one operative complication. Mean follow-up was 14 months. One patient was lost to follow-up and one patient died. There were no long-term side effects. A Visick grading scale was designed to categorize results. Forty graded satisfactory (95%) and two unsatisfactory.

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Röntgenuntersuchung des Magens

Frommhold

Herzer

1974

Magen

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Hiatus Hernia Without Esophageal Reflux

Cited by 14 publications

References 2 publications

Hiatal hernia controversies ‐ a review of pathophysiology and treatment options

Hiatal hernia controversies ‐ a review of pathophysiology and treatment options

Laparoscopic reconstruction of gastroesophageal anatomy for the treatment of reflux disease

Röntgenuntersuchung des Magens

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