Intrathoracic Stomach Revisited

Abbara, Suhny; Kalan, Mohammed; Lewicki, Ann M.

doi:10.2214/ajr.181.2.1810403

Cited by 57 publications

(45 citation statements)

References 3 publications

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“…Types II to IV as a group are referred to as PEH, characterised by relative preservation attachments around the EGJ 2. Type IV hiatal hernia is rare and accounts for only 2% of PEHs 3. It is defined by the presence of a structure other than stomach, such as the omentum, colon or small bowel within the hernia sac.…”

Section: Answer: Bmentioning

confidence: 99%

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Woman with recurrent vomiting

2018

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Clinical introductionA 69-year-old woman presented to the ED with a chief complaint of recurrent vomiting for 3 weeks. She was afebrile, blood pressure was 100/67 mm Hg, HR was 114/min, RR was 19/min and oxygen saturation was 98%. On physical examination, she had mild epigastric tenderness without guarding. Blood tests were normal except for hyponatraemia of 128 mmol/L and hypokalaemia of 2.7 mmol/L. The ECG demonstrated sinus tachycardia with first-degree atrioventricular block. Chest radiograph posteroanterior view (CXR) was performed (figure 1).Figure 1Chest radiograph posteroanterior view. The patient presented to the ED with a complaint of recurrent vomiting for 3 weeks.QuestionDue to continuous vomiting of this patient, which of the following is the most appropriate management?Abdominal ultrasonography.Chest and abdominal CT.Barium swallow.Oesophagogastroduodenoscopy (EGD). For answer see page 02 For question see page 01

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Section: Answer: Bmentioning

confidence: 99%

“…All symptomatic PEHs should be repaired, particularly those with acute obstructive symptoms or volvulus 3. The patient underwent laparoscopic repair of the hiatal hernia and was discharged on the eighth day of admission.…”

Section: Answer: Bmentioning

confidence: 99%

Woman with recurrent vomiting

2018

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“…Two types of gastric volvulus have been described: organoaxial and organomesenteric volvulus 1 2. The organoaxial volvulus is usually seen in adults in the setting of paraoesophageal hernia or trauma, when the stomach rotates along its long axis extending from GEJ to GDJ.…”

Section: Answer Dmentioning

confidence: 99%

Epigastric pain: a life-threatening condition

2016

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“…In this type of hernia, the stomach may be partly or entirely intrathoracic and is normally associated with organoaxial (figure 1A) or mesenteroaxial (figure 1B) rotation 1. There do not appear to be any widely accepted techniques for placement of a feeding prosthesis in this group of patients if artificial nutrition is required.…”

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confidence: 99%