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Para esophageal hernia

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https://www.readbyqxmd.com/read/29051629/-boerhaave-s-syndrome-secondary-to-gastric-volvulus
#1
I Eguaras Córdoba, A Goikoetxea Urdiain, A Hernando Sanz, I Esquiroz Lizaur, B Camarero Triana, A Artajona Rosino
Boerhaave's syndrome is a spontaneous rupture of the oesophagus, caused by an increase of intraluminal pressure that is produced in the context of negative intrathoracic pressure. It has a high index of morbimortality (14-40%), which is why it requires early diagnosis and treatment. When a patient presents vomiting, the differential diagnosis should include epigastric pain. Para-esophageal hiatal hernias can be complicated by gastric volvulus. In its turn, this can produce both oesophageal and gastric necrosis requiring early surgical treatment...
October 19, 2017: Anales del Sistema Sanitario de Navarra
https://www.readbyqxmd.com/read/28728516/a-rare-cause-of-severe-epigastric-pain-emesis-and-increased-lipase
#2
Daan Van Olmen, Francis Somville, Gerry Van der Mieren
INTRODUCTION: Gastric volvulus is an uncommon, but severe pathology requiring early diagnosis and urgent treatment. Its atypical symptoms and rarity make it difficult to diagnose, possibly leading to delayed treatment and fatal complications. PATIENTS AND METHODS: We present a case of a 73-year-old patient with Parkinson's disease with complaints of severe epigastric pain, emesis and an increased lipase. RESULTS: Diagnosis of an organo-axial gastric volvulus was made...
July 20, 2017: Acta Chirurgica Belgica
https://www.readbyqxmd.com/read/27759771/late-evaluation-of-patients-operated-for-gastroesophageal-reflux-disease-by-nissen-fundoplication
#3
Maxwel Capsy Boga Ribeiro, Amanda Bueno de Araújo, Juverson Alves Terra-Júnior, Eduardo Crema, Nelson Adami Andreollo
Background: Surgical treatment of GERD by Nissen fundoplication is effective and safe, providing good results in the control of the disease. However, some authors have questioned the efficacy of this procedure and few studies on the long-term outcomes are available in the literature, especially in Brazil. Aim: To evaluate patients operated for gastro-esophageal reflux disease, for at least 10 years, by Nissen fundoplication. Methods: Thirty-two patients were interviewed and underwent upper digestive endoscopy, esophageal manometry, 24 h pH monitoring and barium esophagogram, before and after Nissen fundoplication...
July 2016: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
https://www.readbyqxmd.com/read/27637519/role-of-robotic-assisted-surgery-in-benign-esophageal-diseases
#4
Shireesh Saurabh, Eric Unger, Julie Grossman, Francisco Couto, Namrata Singh, David Scott Lind, Lucian Panait, Andres Castellanos
Laparoscopic treatment of benign esophageal conditions is technically complex with several inherent limitations. Robotic-assisted surgery provides technical improvement and helps to overcome some of these limitations. We therefore report a single surgeon's experience in management of benign esophageal diseases by robotic-assisted surgery. Over a period of 8 consecutive years, a retrospective chart review was performed of 105 patients who underwent robotic-assisted surgery for benign esophageal diseases by a single surgeon...
June 2014: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/27355264/practice-patterns-and-outcomes-after-hospital-admission-with-acute-para-esophageal-hernia-in-england
#5
Sheraz R Markar, Hugh Mackenzie, Jeremy R Huddy, Sara Jamel, Alan Askari, Omar Faiz, George B Hanna, Giovanni Zaninotto
OBJECTIVE: (i) To establish at a national level clinical outcomes from patients presenting with acute para-esophageal hernia (PEH); and (ii) to determine if a hospital volume-outcome relationship exists for the management of acute PEH. BACKGROUND: Currently, no clear guidelines exist regarding the management of acute PEH, and practice patterns are based upon relatively small case series. METHODS: Patients admitted as an emergency for the treatment of acute PEH between 1997 and 2012 were included from the Hospital Episode Statistics database...
November 2016: Annals of Surgery
https://www.readbyqxmd.com/read/24060742/management-of-large-para-esophageal-hiatal-hernias
#6
REVIEW
D Collet, G Luc, L Chiche
Para-esophageal hernias are relatively rare and typically occur in elderly patients. The various presenting symptoms are non-specific and often occur in combination. These include symptoms of gastro-esophageal reflux (GERD) in 26 to 70% of cases, microcytic anemia in 17 to 47%, and respiratory symptoms in 9 to 59%. Respiratory symptoms are not completely resolved by surgical intervention. Acute complications such as gastric volvulus with incarceration or strangulation are rare (estimated incidence of 1.2% per patient per year) but gastric ischemia leading to perforation is the main cause of mortality...
December 2013: Journal of Visceral Surgery
https://www.readbyqxmd.com/read/23210526/unusual-source-of-thromboembolism-in-a-patient-with-atrial-fibrillation-pulmonary-vein-thrombus-due-to-compressive-para-esophageal-hernia
#7
Siva K Mulpuru, David E Krummen, Sanjiv M Narayan
No abstract text is available yet for this article.
May 2013: Journal of Cardiovascular Electrophysiology
https://www.readbyqxmd.com/read/22986157/laparoscopic-repair-of-congenital-diaphragmatic-hernia-complicated-with-sliding-hiatal-hernia-with-reflux-in-adult
#8
Georgios D Ayiomamitis, Panayiotis Ch Stathakis, Efstratios Kouroumpas, Alexandra Avraamidou, Phivos Georgiades
INTRODUCTION: Congenital diaphragmatic hernia (CDH) in adults is a relatively rare condition being asymptomatic in the majority of cases. Symptomatic CDH should prompt surgical management because they may lead to intestinal obstruction or severe pulmonary disease. This is the first reported case of a symptomatic CDH complicated with sliding hiatal hernia (SHH). PRESENTATION OF CASE: A 65 years old women with reflux and dysphagia was complaining of postprandial paroxysmal dyspnea and epigastric pain radiating to her back...
2012: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/22231632/high-resolution-manometry-patterns-of-lower-esophageal-sphincter-complex-in-symptomatic-post-fundoplication-patients
#9
Masato Hoshino, Ananth Srinivasan, Sumeet K Mittal
INTRODUCTION: There has been an increase in the number of patients seeking treatment after an anti-reflux surgical procedure. The objective of this study is to describe high-resolution manometry (HRM) topography as it relates to the post-fundoplication anatomy. METHODS: Retrospective review of a prospectively maintained database was conducted to identify patients who underwent esophagogastroduodenoscopy and HRM at Creighton University Medical Center (CUMC) between November 2008 and October 2010, for symptoms after a previous fundoplication...
April 2012: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/21983843/incidence-of-diaphragmatic-hernias-following-minimally-invasive-versus-open-transthoracic-ivor-lewis-mckeown-esophagectomy
#10
COMPARATIVE STUDY
B L Willer, S G Worrell, R J Fitzgibbons, S K Mittal
OBJECTIVES: To compare the incidence of post-operative hiatal herniation after open and minimally invasive Ivor Lewis McKeown esophagectomy for malignant disease. METHODS: All patients undergoing esophageal resection were entered into a prospectively maintained database. After Institutional Review Board approval, the database was queried to identify patients who underwent minimally invasive (MIE) and open transthoracic (TTE) Ivor Lewis McKeown esophagectomy (transthoracic three-hole) with gastric pull-up for malignant disease...
April 2012: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/21025892/para-esophageal-hiatal-hernia-a-case-manifesting-gastrointestinal-and-cardiac-symptoms-and-presenting-itself-on-x-ray-as-a-mediastinal-tumor
#11
Y HERMAN, E SINGER
No abstract text is available yet for this article.
May 1, 1946: New York State Journal of Medicine
https://www.readbyqxmd.com/read/19390801/congenital-para-esophageal-hernia-a-10-year-experience-from-saudi-arabia
#12
Nishith Kumar Jetley, Ali Hassan Al-Assiri, Dawood Al Awadi
OBJECTIVE: Para esophageal hiatal hernia is a rare childhood condition and reported series have had scant number of children which makes diagnosis a challenge. The authors sought to study the presentation and the outcome of treatment of congenital para esophageal hernias (CPEH) over a period of 10 years from a single tertiary care hospital in Saudi Arabia. METHODS: The records of 9 patients presenting between 1997 and 2007, were retrospectively analyzed for demographics, presenting features, referral diagnoses, investigations, management including operative procedures, their outcome and follow-up...
May 2009: Indian Journal of Pediatrics
https://www.readbyqxmd.com/read/18958536/revision-of-vertical-banded-gastroplasty-complicated-by-a-large-para-esophageal-hernia
#13
Mansoor Khan, Fred Lee, Roger Ackroyd
Patients who have undergone bariatric surgery and present with upper abdominal symptoms pose a diagnostic and management challenge. This is a case report of a 53-year-old lady who presented a number of years after vertical banded gastroplasty with upper abdominal pain and weight gain. Radiological investigation demonstrated a large para-esophageal hernia including the stapled area of the stomach, but with a staple-line dehiscence. She successfully underwent repair of the hiatus hernia and conversion to a Roux-en-Y gastric bypass resulting in resolution of the abdominal pain and weight loss...
July 2010: Obesity Surgery
https://www.readbyqxmd.com/read/18166867/-congenital-asplenia-ivemark-syndrome-revealed-by-mesenteric-vein-thrombosis-in-a-77-year-old-patient
#14
Michel Gonzalez, Stéphane Collaud, Pascal Gervaz, Philippe Morel
Congenital asplenia (Ivemark syndrome) is usually associated with major cardiac malformations, which determine the clinical presentation and often result in death before 6 months of age. We report the unusual case of a 77 year-old patient with a congenital asplenia that was incidentally detected during a laparotomy for mesenteric vein thrombosis. The other abnormal findings in the abdomen were a para-esophageal hiatal hernia and left kidney hypotrophy. A segmental resection of the mid-jejunum was performed, with uneventful recovery...
October 2007: Gastroentérologie Clinique et Biologique
https://www.readbyqxmd.com/read/18147820/para-esophageal-hernias
#15
R W McNEALY
No abstract text is available yet for this article.
September 1949: American Practitioner and Digest of Treatment
https://www.readbyqxmd.com/read/17190286/acute-para-esophageal-hernia-in-ehlers-danlos-syndrome
#16
Augusto Ignoto, Marco Ambrogio, Nunzio Distefano, Corrado Presti, Francesco Puglisi, Antonio Vaccarella, Rosario Nucifora
Para-esophageal herniation is a recognized complication of the Ehlers-Danlos syndrome. While chronic herniation is well described, acute symptomatic herniation is far less common. We describe a case of acute, life-threatening para-esophageal herniation of the abdominal viscera in a young woman with Ehlers-Danlos syndrome. Careful anaesthetic assessment and surgical management resulted in a successful clinical outcome.
November 2006: Chirurgia Italiana
https://www.readbyqxmd.com/read/16643842/-laparoscopic-treatment-of-para-esophageal-hernias
#17
COMPARATIVE STUDY
D Collet, T Wagner, A Sa Cunha, A Rault, B Masson
AIM: This retrospective study aims at analyzing the functional results obtained in patients operated by laparoscopy for a para-esophageal hernia. PATIENTS AND METHODS: From 1994 to 2004, 38 patients underwent a laparoscopic procedure for a symptomatic para-esophageal hiatal hernia of at least 3/4 of the proximal stomach: 27 females and 11 males, mean age 65 years (extreme: 22-84). There was no case on emergency, 4 patients had have at least one episode of intrathoracic volvulus...
October 2006: Annales de Chirurgie
https://www.readbyqxmd.com/read/15927641/management-of-paraesophageal-hernias
#18
REVIEW
Rodney J Landreneau, Mario Del Pino, Ricardo Santos
A tailored approach to the management of patients who have para-esophageal herniation appears to be the best policy. No one approach can universally apply to this patient population if optimal therapy, quality of life, and overall survival are to be optimized.
June 2005: Surgical Clinics of North America
https://www.readbyqxmd.com/read/15569363/symptomatic-and-radiological-follow-up-after-para-esophageal-hernia-repair
#19
G S Smith, J R Isaacson, B D Draganic, H G Baladas, G L Falk
The treatment of para-esophageal hernia by the laparoscopic approach has been described by a number of authors. The lower morbidity of the laparoscopic approach compared with the open approach holds some attraction, however, reservations regarding the durability of laparoscopic repair exist. There is a paucity of objective follow-up data in the literature with regard to repair durability and symptomatic outcome. A review was undertaken of 94 patients over a 7 year period undergoing attempted laparoscopic repairs of para-esophageal hernia...
2004: Diseases of the Esophagus: Official Journal of the International Society for Diseases of the Esophagus
https://www.readbyqxmd.com/read/15390797/traumatic-para-esophageal-eventration-with-report-of-a-case
#20
J W TANKERSLEY, A J TANNENBAUM, S S ROGERS
No abstract text is available yet for this article.
October 1949: North Carolina Medical Journal
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