Laparoscopic Repair with Mesh for an Esophageal Hiatal Hernia Incarcerating the Gastric Antrum and Duodenal Bulb

DOI Web Site 2 Citations 21 References

Bibliographic Information

Other Title
  • 胃前庭部および十二指腸球部が嵌頓した混合型食道裂孔ヘルニアに対しメッシュを用いた腹腔鏡下手術を施行した1例

Search this article

Description

We report a rare case of esophageal hiatal hernia with incarceration of the gastric antrum and duodenal bulb. A 78-year-old woman was admitted for vomiting and upper abdominal pain. Abdominal CT revealed prolapse of the gastric antrum and duodenal bulb into the mediastinum, and the stomach was markedly dilated and retention of fluid contents was evident. The patient received a naso-gastric tube with instantaneous drainage of 2,200 ml of gastric content. Repositioning of the prolapse under gastroendoscopic guidance was unsuccessful. Following unsuccessful conservative therapy, laparoscopic surgery was performed. The incarcerating gastric antrum and duodenum were easily pulled back to the abdominal space. The orifice of the esophageal hiatal hernia was closed by suture, and mesh replacement hiatal hernia repair was added. Laparoscopic surgery is considered to lower the invasiveness of the surgical treatment for this disease that affects elderly people.

Journal

Citations (2)*help

See more

References(21)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top