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[Incarcerated giant hiatal hernia].
Rev Esp Enferm Dig. 1993 Dec; 84(6):367-71.RE

Abstract

A massive incarcerated hiatal hernia is a frequent finding in elderly people. The aim of this report has been to review from 1987 to 1992 the clinical aspects, therapeutic options and results of surgical treatment in a series of twenty-eight patients (23 females and 5 males) with a large incarcerated hiatal hernia. Age averaged 66 +/- 10 years; thirteen patients (46.5%) had a sliding type of hernia, 8 (28.5%) a mixed one, and 7 (25%) a paraesophageal hernia. In 9 patients (32%) there was a chronic volvulus of the incarcerated stomach. Twenty-seven patients underwent elective repair; one patient developed a perforated gastric ulcer into the pericardial sac with pneumopericardium and died before surgery. The surgical technique included reduction of the hernia, closure of the hiatus and an antireflux procedure (Nissen 25, Toupet 1 and Dor 1). There was no mortality and the morbidity (18%) was not directly related to the surgical procedure. In our series there were no cases of acute volvulus requiring emergency surgery. Our results suggest that surgical correction of massively incarcerated hiatal hernias is well tolerated in the elderly, it relieves symptoms, and avoids potential serious complications.

Authors+Show Affiliations

Servicio de Cirugía General I, Hospital General Gregorio Marañón, Madrid.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

spa

PubMed ID

8129990

Citation

Pérez Díaz, M D., et al. "[Incarcerated Giant Hiatal Hernia]." Revista Espanola De Enfermedades Digestivas : Organo Oficial De La Sociedad Espanola De Patologia Digestiva, vol. 84, no. 6, 1993, pp. 367-71.
Pérez Díaz MD, Turégano Fuentes F, Pérez Morera A, et al. [Incarcerated giant hiatal hernia]. Rev Esp Enferm Dig. 1993;84(6):367-71.
Pérez Díaz, M. D., Turégano Fuentes, F., Pérez Morera, A., Martínez Hijosa, E., Calvo Serrano, M., & del Valle Hernández, E. (1993). [Incarcerated giant hiatal hernia]. Revista Espanola De Enfermedades Digestivas : Organo Oficial De La Sociedad Espanola De Patologia Digestiva, 84(6), 367-71.
Pérez Díaz MD, et al. [Incarcerated Giant Hiatal Hernia]. Rev Esp Enferm Dig. 1993;84(6):367-71. PubMed PMID: 8129990.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Incarcerated giant hiatal hernia]. AU - Pérez Díaz,M D, AU - Turégano Fuentes,F, AU - Pérez Morera,A, AU - Martínez Hijosa,E, AU - Calvo Serrano,M, AU - del Valle Hernández,E, PY - 1993/12/1/pubmed PY - 1993/12/1/medline PY - 1993/12/1/entrez SP - 367 EP - 71 JF - Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva JO - Rev Esp Enferm Dig VL - 84 IS - 6 N2 - A massive incarcerated hiatal hernia is a frequent finding in elderly people. The aim of this report has been to review from 1987 to 1992 the clinical aspects, therapeutic options and results of surgical treatment in a series of twenty-eight patients (23 females and 5 males) with a large incarcerated hiatal hernia. Age averaged 66 +/- 10 years; thirteen patients (46.5%) had a sliding type of hernia, 8 (28.5%) a mixed one, and 7 (25%) a paraesophageal hernia. In 9 patients (32%) there was a chronic volvulus of the incarcerated stomach. Twenty-seven patients underwent elective repair; one patient developed a perforated gastric ulcer into the pericardial sac with pneumopericardium and died before surgery. The surgical technique included reduction of the hernia, closure of the hiatus and an antireflux procedure (Nissen 25, Toupet 1 and Dor 1). There was no mortality and the morbidity (18%) was not directly related to the surgical procedure. In our series there were no cases of acute volvulus requiring emergency surgery. Our results suggest that surgical correction of massively incarcerated hiatal hernias is well tolerated in the elderly, it relieves symptoms, and avoids potential serious complications. SN - 1130-0108 UR - https://www.unboundmedicine.com/medline/citation/8129990/[Incarcerated_giant_hiatal_hernia]_ L2 - https://medlineplus.gov/hiatalhernia.html DB - PRIME DP - Unbound Medicine ER -