Stomach in the chest or what we know about giant hiatal hernias

G V Shavkuta,V M Pakhomova,K M Galashokyan,Yu M Startsev,N V Yakovleva,M F Cherkasov,T V Shnyukova,D M Cherkasov

doi:10.21886/2712-8156-2021-2-1-115-120

Abstract

A hernia of the esophageal aperture of the diaphragm is considered as one of the factors contributing to the development of gastroesophageal reflux disease and requires a complete and comprehensive examination of the patient. Routine esophagogastroduodenoscopy does not give a complete picture of the disease, and therefore patients receive symptomatic treatment for a long time. Paraesophageal hernia of the esophageal aperture of the diaphragm are not well understood yet due to their relatively low frequency of occurrence, may be asymptomatic or manifest as chest pain of noncardiac origin. A patient with a long history of gastroesophageal reflux disease associated with a giant paraesophageal hernia of the esophageal aperture of the diaphragm is presented as a clinical case.

Highlights

Ключевые слова: гастороэзофагеальная рефлюксная болезнь, рефлюкс-эзофагит, гигантская грыжа пищеводного отверстия диафрагмы, параэзофагеальная грыжа, крурорафия, лапароскопическая фундопликация
A hernia of the esophageal aperture of the diaphragm is considered as one of the factors contributing to the development of gastroesophageal reflux disease and requires a complete and comprehensive examination of the patient
A patient with a long history of gastroesophageal reflux disease associated with a giant paraesophageal hernia of the esophageal aperture of the diaphragm is presented as a clinical case

Summary

Introduction

Ключевые слова: гастороэзофагеальная рефлюксная болезнь, рефлюкс-эзофагит, гигантская грыжа пищеводного отверстия диафрагмы, параэзофагеальная грыжа, крурорафия (ушивание ножек диафрагмы), лапароскопическая фундопликация. Или что нам известно о гигантских грыжах пищеводного отверстия диафрагмы. A patient with a long history of gastroesophageal reflux disease associated with a giant paraesophageal hernia of the esophageal aperture of the diaphragm is presented as a clinical case. For citation: Shavkuta G.V., Cherkasov M.F., PakhomovaV.M., ShnyukovaT.V.,Yakovleva N.V., StartsevYu.M., Galashokyan K.M., Cherkasov D.M. Stomach in the chest or what we know about giant hiatal hernias.

Results

Conclusion