scholarly journals SURGICAL TREATMENT OF HIATUS HERNIA IN ADULTS-REPORT OF THREE CASES-

2010 ◽  
Vol 71 (8) ◽  
pp. 2005-2010
Author(s):  
Akihiro SUZUKI ◽  
Shintaro SAKURAI ◽  
Takashi TAKETA ◽  
Kazuki SUDO ◽  
Hironori SHIOZAKI ◽  
...  
PEDIATRICS ◽  
1965 ◽  
Vol 36 (3) ◽  
pp. 351-358
Author(s):  
G. H. Humphreys ◽  
P. D. Wiedel ◽  
D. H. Baker ◽  
W. E. Berdon

Observations on the treatment and course of 34 patients with esophageal hiatus hernia seen at the Babies Hospital in New York between 1943 and 1963 have been reviewed. These patients, ranging from birth to 12 years of age when first seen, presented symptoms of vomiting in the first weeks or months of life in the majority of cases. Sixteen were treated without operation (5 being asymptomatic). Twelve of these had good or fair results; 2 died. Eighteen were treated surgically, twenty-three operations being performed. Results are not comparable, since those surgically treated represent, in general, patients in whom the diagnosis was made too late for effective non-surgical treatment. Fifteen obtained good results, seven by simple transthoracic repair and eight following esophagectomy. Five operations failed, requiring reoperation. There were two deaths.


1982 ◽  
Vol 17 (2) ◽  
pp. 219-224 ◽  
Author(s):  
S. Boesby ◽  
H. Rahbek Sørensen ◽  
T. Madsen ◽  
L. Wallin

2004 ◽  
Vol 132 (suppl. 1) ◽  
pp. 45-48
Author(s):  
Sanja Sindjic ◽  
Marija Lukac ◽  
Radoslav Lukac ◽  
Nedeljko Radlovic ◽  
Zoran Lekovic ◽  
...  

A small group of three patients presented in our study represents extraordinary and very complicated problem of congenital hiatus hernia in infant period from 6th to 9th month of life, associated with gastroesophageal reflux and consecutive esophageal stenosis. There are two very rare and delicate entities within differential diagnosis, in the domain of the same pathology: congenitally short esophagus and congenital esophageal stenosis; with completely different surgical options for their treatment. That is why an optimal diagnostics and an adequate operative technique are extremely important for the treatment of hiatus hernia. The upper gastrointestinal barium radiography is definitely the method of diagnosing hiatus hernia, which provides typical, almost pathognomonic image of hiatus hernia accompanied by the esophageal stenosis. Nissen fundoplication is the technique of choice for its surgical treatment, with gastrostomy for probable postoperative esophageal dilatation. The results are more than satisfying: early peroral feeding, with spontaneous resolving of esophageal stenosis, which significantly diminishes the need for esophageal bougienage.


1951 ◽  
Vol 22 (3) ◽  
pp. 235-247 ◽  
Author(s):  
Donald B. Effler ◽  
Charles S. Ballinger

2018 ◽  
Vol 9 (3) ◽  
pp. 26-33
Author(s):  
M. A. Burikov ◽  
I. V. Skazkin ◽  
O. V. Shulgin ◽  
A. I. Kinyakin ◽  
I. A. Sokirenko

Presently, the improvement in the quality of life of patients who underwent a laparoscopic surgical repair of hiatus hernia and the absence of the gastroesophageal reflux disease (GERD) recurrence are the basic characteristics of the surgical treatment. In this connection, further perfection of the tactics and techniques of the surgical GERD treatment becomes an important problem of modern surgery. Here, we present a comparative analysis of the remote results of the surgical treatment of 159 patients with GERD-complicated hiatus hernia. The patients were divided into two groups, depending on the technique of the performed endosurgical treatment. The first group consisted of patients operated via the standard laparoscopic Nissen fundoplication. In the second group, we included those patients who underwent surgical treatment using a modified procedure of Nissen fundoplication with the formation of a non-tension cuff (RF patent No. 2529415 of 27.09.2014). Evaluation of the results, based on the survey questionnaires Gerd-Q, GSRS, SF-36 and the data of instrumental research methods, was performed 1 to 5 years post-treatment. The treatment of the GERD-complicated hiatus hernia patients with application of the technique of forming a non-hanging fundoplication cuff shows the best long-term results: the incidence of the reflux syndrome and signs of hyperfunction of the fundoplication cuff is lower. The revealed differences coincide with the data of the Gerd-Q and GSRS questionnaires, as well as the life quality estimation by the SF-36 questionnaire. The developed techniques do not require application of sophisticated technical skills and re-equipment and may be recommended for the practical use in the everyday practice in surgical hospitals of all levels.


BMJ ◽  
1978 ◽  
Vol 1 (6106) ◽  
pp. 178-178 ◽  
Author(s):  
E. Hoffman

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