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[Critical evaluation of surgical treatment in slip hiatal hernia].
Chirurgia (Bucur). 2000 Jul-Aug; 95(4):347-52.C

Abstract

448 hiatal hernias, admitted in the last 20 years (1974-1998), 431 (96.3%) sliding hiatal hernias and 17 (3.8%) paraoesophageal hernias, are presented. The hiatal hernias were noticed under the well known etiopathologic circumstances: the predominance of the patients belonging to the female sex (66.07%), aged over 40 (83.25%); we also found in the natural history of the patients increasing abdominal pressure factors (10.79%), metabolic and deficiency disturbances (34.19%) or the concomitance of such a diseases, which admits a low trophicity of the connective tissue as a main pathogenic factor (35.12%). 231 (52.56%) cases were pure hiatal hernias and in 217 (48.44%) cases the hiatal hernia was associated with biliary and/or gastro-duodenal lesions, the hiatal hernia being considered as secondary. The clinical diagnosis was suggested by the gastrooesophageal reflux syndrome for the pure hiatal hernias associated with respiratory (30.32%) and/or cardiac (27.4%) signs. In the associated forms with biliary and/or gastro-duodenal lesions, the clinical picture was that of the hiatal hernia in 30.6% of cases and of the associated lesion in the rest. The clinical diagnosis was confirmed by x-ray examination in 82.7% of cases; the endoscopy was performed in 159 cases and proved the gastrooesophageal reflux and/or its consequences in 47.2% of cases. 420 (93.75%) cases were uncomplicated and in 28 (6.25%) cases we noticed one of the following complications: upper gastro-intestinal bleeding, incarceration or venous thrombosis of the hernial pouch. 336 (75%) patients were operated on, using a large scale of surgical procedures, surgical indication being established on clinical, radiological and endoscopic criteria, with utmost strictness for pure hiatal hernias (surgical treatment 68.3%) and generously for the associated forms. Both the early and late results were good: the mortality rate of 0.44% and the recurrence rate of 3.97%.

Authors+Show Affiliations

Clinica I Chirurgie Craiova.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

rum

PubMed ID

14870539

Citation

Nemeş, R, et al. "[Critical Evaluation of Surgical Treatment in Slip Hiatal Hernia]." Chirurgia (Bucharest, Romania : 1990), vol. 95, no. 4, 2000, pp. 347-52.
Nemeş R, Ghelase F, Georgescu I, et al. [Critical evaluation of surgical treatment in slip hiatal hernia]. Chirurgia (Bucur). 2000;95(4):347-52.
Nemeş, R., Ghelase, F., Georgescu, I., Frujină, V., Vâlcea, V., & Martin, L. (2000). [Critical evaluation of surgical treatment in slip hiatal hernia]. Chirurgia (Bucharest, Romania : 1990), 95(4), 347-52.
Nemeş R, et al. [Critical Evaluation of Surgical Treatment in Slip Hiatal Hernia]. Chirurgia (Bucur). 2000 Jul-Aug;95(4):347-52. PubMed PMID: 14870539.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Critical evaluation of surgical treatment in slip hiatal hernia]. AU - Nemeş,R, AU - Ghelase,F, AU - Georgescu,I, AU - Frujină,V, AU - Vâlcea,V, AU - Martin,L, PY - 2004/2/12/pubmed PY - 2004/4/8/medline PY - 2004/2/12/entrez SP - 347 EP - 52 JF - Chirurgia (Bucharest, Romania : 1990) JO - Chirurgia (Bucur) VL - 95 IS - 4 N2 - 448 hiatal hernias, admitted in the last 20 years (1974-1998), 431 (96.3%) sliding hiatal hernias and 17 (3.8%) paraoesophageal hernias, are presented. The hiatal hernias were noticed under the well known etiopathologic circumstances: the predominance of the patients belonging to the female sex (66.07%), aged over 40 (83.25%); we also found in the natural history of the patients increasing abdominal pressure factors (10.79%), metabolic and deficiency disturbances (34.19%) or the concomitance of such a diseases, which admits a low trophicity of the connective tissue as a main pathogenic factor (35.12%). 231 (52.56%) cases were pure hiatal hernias and in 217 (48.44%) cases the hiatal hernia was associated with biliary and/or gastro-duodenal lesions, the hiatal hernia being considered as secondary. The clinical diagnosis was suggested by the gastrooesophageal reflux syndrome for the pure hiatal hernias associated with respiratory (30.32%) and/or cardiac (27.4%) signs. In the associated forms with biliary and/or gastro-duodenal lesions, the clinical picture was that of the hiatal hernia in 30.6% of cases and of the associated lesion in the rest. The clinical diagnosis was confirmed by x-ray examination in 82.7% of cases; the endoscopy was performed in 159 cases and proved the gastrooesophageal reflux and/or its consequences in 47.2% of cases. 420 (93.75%) cases were uncomplicated and in 28 (6.25%) cases we noticed one of the following complications: upper gastro-intestinal bleeding, incarceration or venous thrombosis of the hernial pouch. 336 (75%) patients were operated on, using a large scale of surgical procedures, surgical indication being established on clinical, radiological and endoscopic criteria, with utmost strictness for pure hiatal hernias (surgical treatment 68.3%) and generously for the associated forms. Both the early and late results were good: the mortality rate of 0.44% and the recurrence rate of 3.97%. SN - 1221-9118 UR - https://www.unboundmedicine.com/medline/citation/14870539/[Critical_evaluation_of_surgical_treatment_in_slip_hiatal_hernia]_ L2 - https://medlineplus.gov/hiatalhernia.html DB - PRIME DP - Unbound Medicine ER -