Laparoscopic Repair and Percutaneous Endoscopic Gastrostomy to Treat Giant Esophageal Hiatal Hernia with Gastric Obstruction : A Case Report
Hiroshima Journal of Medical Sciences Volume 64 Issue 1-2
Page 27-30
published_at 2015-06
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| File | |
| Title ( eng ) |
Laparoscopic Repair and Percutaneous Endoscopic Gastrostomy to Treat Giant Esophageal Hiatal Hernia with Gastric Obstruction : A Case Report
|
| Creator |
Hamai Yoichi
Furukawa Takaoki
Yamakita Ichiko
Ibuki Yuta
|
| Source Title |
Hiroshima Journal of Medical Sciences
|
| Volume | 64 |
| Issue | 1-2 |
| Start Page | 27 |
| End Page | 30 |
| Journal Identifire |
[PISSN] 0018-2052
[EISSN] 2433-7668
[NCID] AA00664312
|
| 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.
|
| Keywords |
Esophageal hernia
Gastropexy
Laparoscopic surgery
Percutaneous endoscopic gastrostomy
|
| NDC |
Medical sciences [ 490 ]
|
| Language |
eng
|
| Resource Type | departmental bulletin paper |
| Publisher |
Hiroshima University Medical Press
|
| Date of Issued | 2015-06 |
| Rights |
Hiroshima University Medical Press
|
| Publish Type | Version of Record |
| Access Rights | open access |
| Source Identifier |
[ISSN] 0018-2052
[NCID] AA00664312
|
