scholarly journals Giant paraesophageal hernia-related chronic gastric volvulus case to the emergent surgery

2017 ◽  
Vol 4 ◽  
pp. 315-317 ◽  
Author(s):  
Hüseyin Çiyiltepe ◽  
Ebubekir Gündeş ◽  
Durmuş Ali Çetin ◽  
Ulaş Aday ◽  
Emre Bozdağ ◽  
...  
Keyword(s):  
Paraesophageal Hernia ◽  
Gastric Volvulus ◽  
Emergent Surgery

scholarly journals Acute Esophageal Necrosis Secondary to a Paraesophageal Hernia

2021 ◽  
pp. 594-597
Author(s):  
Chris J. Li ◽  
Benjamin B. Claxton ◽  
Peter Block ◽  
Sean Reilly ◽  
Scott Manski ◽  
...  
Keyword(s):  
Paraesophageal Hernia ◽  
Gastric Volvulus ◽  
Gastrointestinal Symptoms ◽  
Antibiotic Use ◽  
Causative Factor ◽  
Low Flow ◽  
Barium Swallow ◽  
Esophageal Mucosa ◽  
Acute Esophageal Necrosis ◽  
Esophageal Necrosis

Acute esophageal necrosis (AEN) or “black esophagus” is a rare clinical entity caused by necrosis of distal esophageal mucosa stemming from esophageal ischemia. Possible etiologies are broad but most commonly include possible triggers of low-flow vascular states in the esophagus, including infections, broad-spectrum antibiotic use, and gastric volvulus, among others. Patients most commonly present clinically with acute onset hematemesis and melena. Here, we describe a patient who initially presented with multiple nonspecific gastrointestinal symptoms, including abdominal pain and nausea, that progressed over a 10-day period, culminating in multiple episodes of hematemesis prior to presentation. Endoscopic evaluation confirmed the diagnosis of AEN and unveiled a possible paraesophageal hernia (PEH) as the causative factor. A subsequent videofluoroscopic barium swallow was utilized to better characterize the upper gastrointestinal anatomy and confirmed the PEH as a likely etiology. Esophagogastroduodenoscopy (EGD) can often identify PEH independently, but in patients with AEN secondary to a possible, but unclear, PEH on EGD, a videofluoroscopic barium swallow is an appropriate and useful next step in confirming the diagnosis. While treatment of AEN traditionally involves fluid resuscitation, intravenous protein pump inhibitors, and total parenteral nutrition, surgical intervention is often indicated in patients who have a contributing and symptomatic PEH.

scholarly journals Emergent management of complicated paraesophageal hernia due to distal gastrointestinal obstruction: three-case series

2020 ◽  
Vol 2 (3) ◽  
Author(s):  
Constantinos Avgoustou ◽  
Dionisis Theodoropoulos ◽  
Dimitrios Fagrezos ◽  
Eirini Avgoustou ◽  
Dimitrios Giannousis
Keyword(s):  
Paraesophageal Hernia ◽  
Case Series ◽  
Gastric Fundus ◽  
Abdominal Hernia ◽  
X Rays ◽  
Gastrointestinal Obstruction ◽  
Acute Complications ◽  
Operative Findings ◽  
Emergent Surgery

Background: The aim of this study is to describe the diagnostic evaluation and treatment in patients with complicated paraesophageal hernia (PEH) and distal gastrointestinal (GI) obstruction. Methods: Three cases with known PEH in the Department of Surgery of the General Hospital of Nea Ionia ‘’Constantopoulion-Patission’’, I woman 78 yrs, II man 88 and III man 78, underwent emergent open surgery for complicated PEH and GI obstruction. Cardiorespiratory distress in all and sepsis in I, were encountered. Case I had coexistent incarcerated abdominal hernia, II had a prepyloric lesion revealed by gastroscopy and III chronic constipation. X-rays and CT scan helped diagnosis. Operative findings: In case I, we found viable incarcerated bowel, gastric fundus and body strangulated in mediastinum, fundus ruptured, and antrum ischemic; total gastrectomy with esophageal and duodenal stapling were performed. In case II, the stomach with an obstructive prepyloric lesion was volvulized in mediastinum; distal gastrectomy, gastrojejunostomy, cruroraphy and fundopexy were performed. In case III, strangulation of the dolichosigmoid was the prominent feature, moreover, incarceration of gastric fundus and transverse colon in PEH sac were also found; reduction of PEH contents, limited resection of thick congenital bands, extended left colectomy, cruroraphy, fundopexy and caecopexy were performed. Results: Case I and II were transferred intubated to ICU. Case I was never stabilized, died after 50 hours; histology confirmed gastric necrosis. Case II was extubated on day 4, discharged on day 28; histology revealed antral ischemia and prepyloric pT2 adenocarcinoma. Case III had uneventful outcome; histology revealed dolichosigmoid ischemia. Follow-up of cases II and III (32 and 30 months respectively) has been uneventful. Conclusion: Obstructive conditions distal to large PEHs may lead to acute complications in hernia contents and emergent surgery is challenging. Obstructive conditions distal to large PEHs may lead to acute complications in hernia contents and emergent surgery is challenging.

Laparoscopic management of neonatal paraesophageal hernia with intrathoracic gastric volvulus

2010 ◽  
Vol 45 (8) ◽  
pp. e21-e23 ◽  
Author(s):  
Tabetha Bradley ◽  
Jacob Stephenson ◽  
George Drugas ◽  
Jeffrey R. Avansino
Keyword(s):  
Paraesophageal Hernia ◽  
Gastric Volvulus ◽  
Laparoscopic Management

Hematemesis Secondary to Paraesophageal Hernia With Incarcerated Gastric Volvulus

2014 ◽  
Vol 109 ◽  
pp. S267
Author(s):  
Eric Gou ◽  
Habeeb Salameh ◽  
Venessa Beckman ◽  
Guillermo Gomez ◽  
Sreeram Parupudi
Keyword(s):  
Paraesophageal Hernia ◽  
Gastric Volvulus

scholarly journals Endoscopic Reduction of a Gastric Volvulus Associated with a Paraesophageal Hernia

Endoscopy ◽  
2005 ◽  
Vol 37 (8) ◽  
pp. 787-787 ◽  
Author(s):  
W. T. Siu ◽  
K. K. Yau ◽  
Y. W. Luk ◽  
B. K. Law ◽  
M. K. Li
Keyword(s):  
Paraesophageal Hernia ◽  
Gastric Volvulus

Triple fluid level due to gastric volvulus complicating bilateral paraesophageal hernia: Case report

2010 ◽  
Vol 73 (1) ◽  
pp. e21-e23
Author(s):  
Gülen Demirpolat ◽  
Tuba Balakan ◽  
Uğur Dal ◽  
Ertan Bulbuloglu ◽  
Gulgun Demirpolat
Keyword(s):  
Case Report ◽  
Paraesophageal Hernia ◽  
Gastric Volvulus ◽  
Fluid Level

scholarly journals S3165 Gastric Volvulus Developing in Previously Asymptomatic Paraesophageal Hernia

2021 ◽  
Vol 116 (1) ◽  
pp. S1304-S1304
Author(s):  
Benjamin Ascherman ◽  
Nicholas Condiles ◽  
Michael Ma ◽  
Liang R. Cui ◽  
Vladimir Ornstein
Keyword(s):  
Paraesophageal Hernia ◽  
Gastric Volvulus

scholarly journals S2558 Intrathoracic Gastric Volvulus and Giant Paraesophageal Hernia With Percutaneous Endoscopic Gastrostomy Fixation

2021 ◽  
Vol 116 (1) ◽  
pp. S1077-S1077
Author(s):  
David Wozny ◽  
Jeffrey Wright ◽  
Christopher Dipollina ◽  
Satinder Gill ◽  
Claire Weinstock
Keyword(s):  
Percutaneous Endoscopic Gastrostomy ◽  
Paraesophageal Hernia ◽  
Gastric Volvulus ◽  
Endoscopic Gastrostomy
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