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ID 37748
file
creator
Hamai, Yoichi
Furukawa, Takaoki
Yamakita, Ichiko
Ibuki, Yuta
subject
Esophageal hernia
Gastropexy
Laparoscopic surgery
Percutaneous endoscopic gastrostomy
NDC
Medical sciences
abstract
We describe a 74-year-old man with repeated aspiration pneumonia who developed gastric obstruction due to giant esophageal hiatal hernia (EHH). We repaired the giant EHH by laparoscopic surgery and subsequently anchored the stomach to the abdominal wall by percutaneous endoscopic gastrostomy (PEG) using gastrofiberscopy. Thereafter, the patient resumed oral intake and was discharged on postoperative day 21. At two years after these procedures, the patient has adequate oral intake and lives at home. Because this condition occurs more frequently in the elderly with comorbidities, laparoscopic surgery contributes to minimally invasive treatment. Furthermore, the procedure combined with concurrent gastropexy via PEG is useful for treating patients who have difficulty swallowing and for preventing recurrent hernia.
journal title
Hiroshima Journal of Medical Sciences
volume
Volume 64
issue
Issue 1-2
start page
27
end page
30
date of issued
2015-06
publisher
Hiroshima University Medical Press
issn
0018-2052
ncid
language
eng
nii type
Departmental Bulletin Paper
HU type
Departmental Bulletin Papers
DCMI type
text
format
application/pdf
text version
publisher
rights
Hiroshima University Medical Press
department
Graduate School of Biomedical & Health Sciences
Research Institute for Radiation Biology and Medicine
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