A Case of Giant Esophageal Hiatal Hernia Showing an Upside Down Stomach
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- Fukuda Naoto
- Department of Surgery, Kawasaki Kyodo Hospital
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- Niki Michio
- Department of Surgery, Kawasaki Kyodo Hospital
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- Sano Masaya
- Department of Surgery, Kawasaki Kyodo Hospital
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- Ogura Rena
- Department of Surgery, Kawasaki Kyodo Hospital
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- Wada Joji
- Department of Surgery, Kawasaki Kyodo Hospital
Bibliographic Information
- Other Title
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- Upside down stomachを呈した巨大食道裂孔ヘルニアの1例
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Abstract
A 79-year-old woman was urgently admitted to our hospital with complaints of frequent nausea and vomiting. Based on the computer tomography findings, she was diagnosed as having a giant esophageal hiatal hernia showing an upside down stomach. Gastrofiberscopy revealed grade D gastro-esophageal reflux disease (GERD). She underwent a surgical procedure composed of a hiatal hernia repair and Nissen fundoplication after conservative treatment. The esophageal hiatus was wide measuring 4 by 3 cm and it was repaired using a mesh. Moreover, the gastric fundus was sutured with the diaphragm to fix the stomach. The postoperative course was favorable, and the patient was discharged on post-operative day 15. She remains in good condition without recurrence 6 months after surgery. Although an esophageal hiatal hernia showing an upside down stomach is rare, early diagnosis and accurate surgery with a lower recurrence rate is required because a severe condition might occur in acute cases.
Journal
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- Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine)
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Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine) 33 (8), 1335-1339, 2013
Japanese Society for Abdominal Emergency Medicine
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Keywords
Details 詳細情報について
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- CRID
- 1390001204737885952
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- NII Article ID
- 130004509220
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- ISSN
- 18824781
- 13402242
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- Text Lang
- ja
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- Data Source
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- JaLC
- CiNii Articles
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- Abstract License Flag
- Disallowed