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[Upside-down stomach and hiatal hernia].
Chirurgia (Bucur). 2012 May-Jun; 107(3):399-403.C

Abstract

Hiatal hernias represent a special variant of diaphragmatic hernia in which there is a transdiaphragmatic migration of the stomach through the esophageal hiatus. There are 4 types admitted--sliding (type I), paraesophageal (type II), mixt-combining elements for both previous types (type III) and complex (type IV) and represents at most 5-15% from all hiatal hernias. Upside-down stomach is a special form of organoaxial volvulus of the entire stomach in a sac of mixt hiatal hernia (type III) or complex (type IV). There are asymptomatic forms, but the majority of the patients present signs of gastroesophageal reflux and up to one third may show complications such as bleeding, acute volvulus with obstruction or perforation. Surgical intervention is the only treatment option for the gastric volvulus and offers a durable resolution. The ideal surgical technique, the gold standard, consists in reduction of the stomach in the gastric lodge, resection of the sac and calibration of the hiatus adding a gastropexy or antireflux procedure.

Authors+Show Affiliations

Clinica III Chirurgie, Spitalul Clinic Judetean de Urgenţă, UMF Craiova, România. alex_munteanu@ymail.comNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

rum

PubMed ID

22844842

Citation

Munteanu, A C., et al. "[Upside-down Stomach and Hiatal Hernia]." Chirurgia (Bucharest, Romania : 1990), vol. 107, no. 3, 2012, pp. 399-403.
Munteanu AC, Munteanu M, Surlin V, et al. [Upside-down stomach and hiatal hernia]. Chirurgia (Bucur). 2012;107(3):399-403.
Munteanu, A. C., Munteanu, M., Surlin, V., & Dilof, R. (2012). [Upside-down stomach and hiatal hernia]. Chirurgia (Bucharest, Romania : 1990), 107(3), 399-403.
Munteanu AC, et al. [Upside-down Stomach and Hiatal Hernia]. Chirurgia (Bucur). 2012 May-Jun;107(3):399-403. PubMed PMID: 22844842.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Upside-down stomach and hiatal hernia]. AU - Munteanu,A C, AU - Munteanu,M, AU - Surlin,V, AU - Dilof,R, PY - 2012/8/1/entrez PY - 2012/8/1/pubmed PY - 2012/12/10/medline SP - 399 EP - 403 JF - Chirurgia (Bucharest, Romania : 1990) JO - Chirurgia (Bucur) VL - 107 IS - 3 N2 - Hiatal hernias represent a special variant of diaphragmatic hernia in which there is a transdiaphragmatic migration of the stomach through the esophageal hiatus. There are 4 types admitted--sliding (type I), paraesophageal (type II), mixt-combining elements for both previous types (type III) and complex (type IV) and represents at most 5-15% from all hiatal hernias. Upside-down stomach is a special form of organoaxial volvulus of the entire stomach in a sac of mixt hiatal hernia (type III) or complex (type IV). There are asymptomatic forms, but the majority of the patients present signs of gastroesophageal reflux and up to one third may show complications such as bleeding, acute volvulus with obstruction or perforation. Surgical intervention is the only treatment option for the gastric volvulus and offers a durable resolution. The ideal surgical technique, the gold standard, consists in reduction of the stomach in the gastric lodge, resection of the sac and calibration of the hiatus adding a gastropexy or antireflux procedure. SN - 1221-9118 UR - https://www.unboundmedicine.com/medline/citation/22844842/[Upside_down_stomach_and_hiatal_hernia]_ L2 - https://medlineplus.gov/hiatalhernia.html DB - PRIME DP - Unbound Medicine ER -