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

Kód výsledku v 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>

Výsledek na webu

<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>

Jazyk výsledku

angličtina

Název v původním jazyce

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

Popis výsledku v původním jazyce

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.

Název v anglickém jazyce

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

Popis výsledku anglicky

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.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30212 - Surgery

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2023

Kód důvěrnosti údajů

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

Název periodika

International Journal of Surgery Case Reports

ISSN

2210-2612

e-ISSN

—

Svazek periodika

102

Číslo periodika v rámci svazku

January 2023

Stát vydavatele periodika

GB - Spojené království Velké Británie a Severního Irska

Počet stran výsledku

4

Strana od-do

107809

Kód UT WoS článku

001032004200019

EID výsledku v databázi Scopus

2-s2.0-85143965408