چاپ صفحه |  صفحه نخست سامانه |  نویسندگان |  اطلاعات تفضیلی |  دانلود مقاله | دانشگاه علوم پزشکی تبریز |
| نویسنده | نفر چندم مقاله |
|---|---|
| سید ضیاالدین راثی هاشمی | اول |
| عنوان | متن |
|---|---|
| کلمات کلیدی | Hiatal hernia; Fundoplication; GERD; Laparoscopic surgery |
| خلاصه مقاله | Background and objective Esophageal hiatal hernia is defined as the prolapse of one or more intra-abdominal organs through the esophageal hiatus. Four types are identified: type Ι or sliding hiatal hernia, type II through IV are paraesophageal hernia (PEH). We present two cases of hiatal hernia admitted to our department, appearing with severe iron deficiency anemia and persistent gastro-oesophageal reflux symptoms despite proton pump inhibitor therapy. Patient Report Case1: A 70 year-old man presented to the outpatient clinic with increasing fatigue, and blackening of the stool over 6 months. On the physical examination, vital signs were stable and pallor was observed at conjunctiva. In the laboratory evaluations: the following results were positive for iron deficiency anemia and occult fecal blood tests. On the upper gastrointestinal endoscopy, there were linear erosions at gastric body. Upper GI barium swallow revealed type III hiatal hernia. A thoracoabdominal CT scan showed a large part of the stomach was herniated into mediastinum without any finding of incarceration and gastrointestinal obstruction. A laparoscopy was performed and the herniated stomach was successfully reduced into the abdomen. A floppy nissen fundoplication was performed to recreate the antireflux valve. Case 2: A 35-year-old woman presented to us with persistent gastro-oesophageal reflux symptoms despite proton pump inhibitor therapy. Esophagogastroduodenoscopy (EGD) revealed small size sliding hiatal hernia and grade A esophagitis. High resolution manometry (HRM) showed absent peristalsis of the distal esophagus. She underwent laparoscopic Toupet fundoplication due to apparent GERD and desire to discon¬tinue all medications. After surgery, her subjective symptoms improved Conclusion Laparoscopic treatment of hiatal hernia is safe and effective .Although mild dysphagia occurs after the procedure, this is transient in most patients. |
| نام فایل | تاریخ درج فایل | اندازه فایل | دانلود |
|---|---|---|---|
| 16th mistic 2022.jpg | 1400/12/08 | 5729180 | دانلود |
| 16th paper.pdf | 1400/12/08 | 16333221 | دانلود |
