Year 2016 / Volume 108 / Number 8
Digestive Diseases Image
Gastric necrosis secondary to strangulated giant paraesophic hiatal hernia

498-500

José Ángel Díez Ares, Nuria Peris Tomás, Nuria Estellés Vidagany, Dolores Periáñez Gómez,

Abstract
Asymptomatic giant hiatal hernia comprises a relatively common disease, mostly presented in women with 50 years onwards. The therapeutic approach remains controversial in recent years. Under the latest SAGES`revision, all the symptomatic hernias must be repaired, but the symptomatic hiatal hernia definition isn`t even now established. We present the case os a A 67 – year old woman with an asymptomatic hiatal hernia, that is admitted to our hospital owing to toracic and abdominal pain. This pain was related with food intake for 6 months. The patient presents a clear worsening in the last 24 hours, with no other asociated symptomatology. Suspecting an incarcerated hiatal hernia with stomach perforation, the patient is taken to theatre for a laparotomy during the early hours. An atypic gastrectomy of the greater curvature with a gastropexy is performed with fixation to the anterior abdominal wall. The surgery is completed with a feeding jejunostomy. The Manegement of giant paraesophagic hernias, still remains as one of the challenge of the esophageal surgeons
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References
1 Skinner DB, Belsey RH. Surgical management of esophageal reflux and hiatus hernia. Long-term results with 1,030 patients. J Thorac Cardiovasc Surg. 1967;53:33-54.
2. Granderath FA, Schweiger UM, Kamolz T, et al. Laparoscopic Nissen fundoplication with prosthetic hiatal closure reduces postoperative intrathoracic wrap herniation: preliminary results of a prospective randomized functional and clinical study. Arch Surg 2005;140:40-8.
3. Oelschlager BK, Pellegrini CA, Hunter J, et al. Biologic prosthesis reduces recurrence after laparoscopic paraesophageal hernia repair: a multicenter, prospective, randomized trial. Ann Surg 2006;244:481-90.
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Díez Ares J, Peris Tomás N, Estellés Vidagany N, Periáñez Gómez D. Gastric necrosis secondary to strangulated giant paraesophic hiatal hernia . 3859/2015


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Publication history

Received: 21/05/2015

Accepted: 23/06/2015

Published: 29/07/2016

Article revision time: 28 days

Article editing time: 435 days


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