Three patients with esophageal hiatal hernia showing upside down stomach

貴志, 麻田; 周一郎, 内山; 俊夫, 島山; 剛, 高屋; 秀樹, 日高; 一男, 千々岩

doi:10.3919/jjsa.73.821

Cited by 6 publications

(2 citation statements)

References 4 publications

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“…There have also been a small number of such cases in Western countries [9][10][11] , and the incidence of upside down stomach is reported to be 6.2% of all esophageal hiatus hernia cases 2) . A total of only 58 cases, including the present one, of upside down stomach has also been reported in Japan 3,12,13) . Of these cases, elderly patients are more frequent with a mean age of 72.8 years ; however, the number of those aged 85 years and over was very small, only 7, including our patient.…”

Section: Discussionmentioning

confidence: 69%

A Surgical Case of a Large Esophageal Hiatus Hernia with an Upside Down Stomach in a Patient of Advanced Age

Shimakawa

Asaka

Usuda

et al. 2013

JJCS

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Cases of so-called "upside down stomach", or volvulus of the stomach prolapsing into the mediastinum, are rare. We encountered a patient of advanced age who developed a large esophageal hiatus hernia with an upside down stomach, which was surgically treated. An 89-year-old female patient had repeated vomiting and hematemesis requiring emergency hospital admission. Upper gastrointestinal contrast study revealed severe esophageal hiatus hernia and gastric volvulus resulting in the stomach turning upside down. Computed tomography showed prolapse of the large portion of the stomach into the mediastinum. Because the patient had undergone epigastric laparotomy, surgery was initiated with opening the upper abdomen followed by returning the stomach into the peritoneal cavity. The hiatus hernia was sutured, and floppy Nissen fundoplication was performed as well as stomach fixation under the diaphragm. The patientʼs food intake was favorable postoperatively, and she was discharged.

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Section: Discussionmentioning

confidence: 69%

A Surgical Case of a Large Esophageal Hiatus Hernia with an Upside Down Stomach in a Patient of Advanced Age

Shimakawa

Asaka

Usuda

et al. 2013

JJCS

View full text Add to dashboard Cite

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“…Nagai et al [ 5 ] reported that upside-down stomach could be caused by both a reduction in elasticity of supporting structures, such as the hepatoduodenal, hepatogastric and hepatic diaphragmatic ligaments, the gastrosplenic ligament fixing the stomach, and relaxation of the esophageal hiatus. In a study involving 51 patients (45 females [90.2%], 6 males [9.8%]) with upside-down stomach, Asada et al [ 6 ] reported a mean age 75.3 years.…”

Section: Discussionmentioning

confidence: 99%

Difficult Diagnosis and Surgical Procedure for Scirrhous Gastric Cancer Complicated by Upside-Down Stomach: A Case Report

et al. 2020

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Three Cases with Esophageal Hiatal Helnia Shownig Upside Down Stomach

Kobayashi

Iwanami

Sato

et al. 2019

kmj

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Patient 1 was a 76-year-old woman with chief complaints of reflux symptoms and anorexia. She had esophageal hiatal hernia associated with stomach cancer. Endoscopic submucosal dissection was considered difficult; thus, distal gastrectomy and esophageal hiatal plication were performed. Patient 2 was a 78-year-old woman with chief complaints of nausea and vomiting. Prolapse of the gastric corpus into the mediastinum was observed. Thus, surgery was performed for passage obstruction treatment. Because reflux symptoms were not observed, cardioplasty was not performed; however, esophageal hiatal plication was performed. Patient 3 was a 68-year-old woman with the chief complaint of continuous vomiting. Passage obstruction was observed. She had a history of reflux esophagitis. Cardioplasty and esophageal hiatal plication using a mesh were performed. All these three cases involved gastric volvulus, with most part of the whole stomach being impacted into the thoracic cavity, and showed a relatively rare upsidedown stomach. Here we report the surgical procedures performed for these esophageal hiatal hernia cases with a review of the literature.

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Three patients with esophageal hiatal hernia showing upside down stomach

Cited by 6 publications

References 4 publications

A Surgical Case of a Large Esophageal Hiatus Hernia with an Upside Down Stomach in a Patient of Advanced Age

A Surgical Case of a Large Esophageal Hiatus Hernia with an Upside Down Stomach in a Patient of Advanced Age

Difficult Diagnosis and Surgical Procedure for Scirrhous Gastric Cancer Complicated by Upside-Down Stomach: A Case Report

Three Cases with Esophageal Hiatal Helnia Shownig Upside Down Stomach

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