Paraesophageal Hernia

Hill, Lucius D.

doi:10.1001/archsurg.1968.01330230043007

Cited by 109 publications

(62 citation statements)

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“…For example, in 5 patients who underwent surgery for complications of hiatal hernial ulceration, radiological healing was observed within 17 days of operation in 4 patients, while in a fifth patient autopsy 14 days after operation revealed no visible evidence of ulceration.5 Similarly, in several other studies surgical treatment of hiatal hernia has abolished chronic blood loss, which in many cases was attributable to hiatal hernial ulceration. 1,6,12,19,20 Hiatal hernial ulcers do not appear to be a manifestation of severe peptic ulcer disease, since the prevalence of ulceration outwith the hiatal hernia (that is, duodenal ulcer or benign gastric copyright.…”

Section: Resultsmentioning

confidence: 95%

Hiatal hernial ulcers: clinical features and follow-up

Boyd

Penston

Russell

et al. 1991

Postgraduate Medical Journal

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Summary:We describe the clinical features and therapeutic outcome in 49 patients in whom benign gastric ulceration of an hiatal hernia was demonstrated endoscopicaily. Hiatal hernial ulcers accounted for 10% of all benign gastric ulcers. The typical patient was an elderly female with a history of dyspepsia who was receiving non-steroidal anti-inflammatory drugs. Twenty-seven (55%) patients had evidence of haemorrhage (acute in 15; chronic in 12) from the hiatal hernial ulcer at presentation. In 16 (33%) patients, symptoms attributable to haemorrhage constituted the sole clinical evidence of the hiatal hernial ulcer. Acute haemorrhage from hiatal hernial ulcers was associated with non-steroidal anti-inflammatory drug (NSAID) treatment (P < 0.05). Chronic blood loss from hiatal hernial ulcers was associated with female gender (P < 0.005) but not with NSAID treatment.Hiatal hernial ulcers healed slowly in response to medical treatment with H2-receptor antagonists (median time to healing 12 weeks). Surgical treatment may be the therapy of choice for hiatal hernial ulcers because of the high complication rate, poor response to medical therapy, and the apparent predominance of mechanical aetiological factors.

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Section: Resultsmentioning

confidence: 95%

Hiatal hernial ulcers: clinical features and follow-up

Boyd

Penston

Russell

et al. 1991

Postgraduate Medical Journal

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“…The PH, type II, is characterized by an upward dislocation of the gastric fundus alongside a normally positioned cardia. The mixed hernia, type III, is characterized by an upward dislocation of the cardia and the gastric fundus [1,2]. The fourth one is defined as herniation of organs beside the stomach, i.e., omentum or colon.…”

Section: Discussionmentioning

confidence: 99%

“…In this case, while the gastroesophageal junction and the cardia maintain their normal position under the diaphragm, a portion of the gastric fundus and/or large curvature travels through the pleural cavity, forming a hernia. In the advanced cases, most of the fundus deviates to the right hemithorax, and the small curvature and the pylorus which are fixed to the retroperitoneum by the duodenum stay intraabdominally [1,2].…”

Section: Introductionmentioning

confidence: 99%

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Boğulmuş paraözefageal herni: Olgu sunumu.

Başak¹,

Aksoy²,

Sevinç³

et al. 2016

Archives of Clinical and Experimental Medicine

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“…Type II rolling HH or para-oesophageal hernias involve protrusion of part of the stomach into the chest with the GOJ retaining its normal position in the abdomen. These account for 3.5-10% of HH [11][12][13]. Type III HH account for 5% of cases and are mixed sliding and rolling HH.…”

Section: Impairment Of Oesophageal Acid Clearancementioning

confidence: 99%

Giant Hiatus Hernia and Association with Gastro-Oesophageal Reflux: A Review

Chan

2017

J Clin Gastroenterol Treat

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The term "giant hiatus hernia" has been variably defined, but most authors refer to at least 30% of the stomach, with or without other abdominal viscera, herniating through the oesophageal hiatus of the diaphragm into the mediastinum. This causes dysfunction of the lower oesophageal sphincter complex and can lead to obstructive symptoms, atypical extra-oesophageal symptoms as well as medically difficult to control reflux. When indicated, operative repair involves complete reduction of the hernia and the associated peritoneal sac, and partial hiatal closure in combination with an anti-reflux procedure. Surgery for giant hiatal hernias is complex, but can be performed with low morbidity and mortality with effective, long-term symptom resolution and improvement in health related quality of life.

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Paraesophageal Hernia

Cited by 109 publications

References 0 publications

Hiatal hernial ulcers: clinical features and follow-up

Hiatal hernial ulcers: clinical features and follow-up

Boğulmuş paraözefageal herni: Olgu sunumu.

Giant Hiatus Hernia and Association with Gastro-Oesophageal Reflux: A Review

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