Gastric resection with intrathoracic anastomosis in a hiatal hernia – A case report

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61989592%3A15110%2F23%3A73621905" target="_blank" >RIV/61989592:15110/23:73621905 - isvavai.cz</a>

Result on the web

<a href="https://www.sciencedirect.com/science/article/pii/S2210261222010550?via%3Dihub" target="_blank" >https://www.sciencedirect.com/science/article/pii/S2210261222010550?via%3Dihub</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.ijscr.2022.107809" target="_blank" >10.1016/j.ijscr.2022.107809</a>

Result language

angličtina

Original language name

Gastric resection with intrathoracic anastomosis in a hiatal hernia – A case report

Original language description

Introduction: In this case report we describe the surgical treatment of an incarcerated bulky mixed hiatal herniawith gastric necrosis, where the only treatment was extensive surgical resection of the stomach. The procedureincluded resection of the jejunum containing multiple jejunal diverticula.Case presentation: The patient was examined for acute shortness of breath, chest pain and recurrent vomiting. CTscan showed a bulky mixed hiatal hernia with gastrectasia. The patient was referred for surgical treatment due toacute symptoms. Perioperatively, a mixed hiatal hernia with gastric necrosis due to incarceration of the oral 2/3of the stomach above the diaphragm was discovered. A total gastrectomy was performed, and due to ischemia ofthe esophagus, an esophagojejunoanastomosis via right-sided thoracotomy had to be performed. Multiple jejunaldiverticula were a surprising perioperative finding and were resected. Postoperatively, the patient was admittedto the ICU. She was discharged to home care in stable condition, fully realimented.Clinical discussion: Patients with a bulky hiatal hernia are at risk of serious complications if it is incarcerated.Patients with acute symptomatology of the disease are indicated for acute surgical revision, and the surgicalprocedure is modified according to perioperative findings.Conclusion: Acute surgical treatment is indicated in patients with symptomatic hiatal hernias where there is a riskof serious complications. The type of surgery is modified according to the actual perioperative findings.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

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OECD FORD branch

30212 - Surgery

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2023

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

International Journal of Surgery Case Reports

ISSN

2210-2612

e-ISSN

—

Volume of the periodical

102

Issue of the periodical within the volume

January 2023

Country of publishing house

GB - UNITED KINGDOM

Number of pages

4

Pages from-to

107809

UT code for WoS article

001032004200019

EID of the result in the Scopus database

2-s2.0-85143965408