Treatment Of Esophageal Hiatal Hernia Research Articles

Advances in Non-Operative Treatment of Hiatal Hernia

Hiatal hernia is a disease of abdominal organs (mainly stomach) entering the thoracic cavity through the hiatus of the diaphragm. It is often seen in patients with obesity and long-term elevated abdominal pressure. It is easy to be misdiagnosed as heart, lung and chest diseases. In recent years, due to the improvement of living standards, more and more obese patients are suffering from obesity, and the pressure of work and life is increasing. With the improvement of diagnosis and treatment technology such as endoscopy and angiography, the incidence of obesity is gradually increasing in recent years. Because the surgical treatment is still in the initial stage and there are many postoperative complications, it is necessary to study the non-surgical treatment of esophageal hiatal hernia. After data investigation, this paper discusses the western medicine treatment of esophageal hiatal hernia and traditional Chinese medicine treatment of esophageal hiatal hernia, and summarizes and discusses various non-surgical treatment methods on the basis of the original data. The results showed that the non-surgical treatment of hiatal hernia in China is still in its infancy, but there are many research results, especially the method of combining traditional Chinese and Western medicine in the treatment of hiatal hernia is worthy of promotion.

Laparoscopic treatment of esophageal hiatal hernia: analysis of 11 cases

To investigate the effect and safety of laparoscopic treatment in patients with esophageal hiatal hernia. Eleven patients with esophageal hiatal hernia, 9 males and 2 females, with the mean age of 56, accepted laparoscopic treatment. Two cases were treated by hernia repair merely and 9 cases were treated by hernia repair and fundoplication (Nissen's operation) one of which accepted laparoscopic cholecystoectomy at the same time. All patients were treated successfully. The operation time was 2.5 hours (1.5 - 5 hours) and the blood loss was between 20 - 200 ml. The patients began to accept liquid diet 24 - 36 hours after operation. There was no postoperative complication and all the clinic symptoms disappeared. The mean hospitalization time was 8 days (6 - 15d). Laparoscopic treatment of esophageal hiatal hernia provides a safe and minimal invasive procedure.

Outcomes of surgical fundoplication in children

Surgical fundoplication has been recommended for children with persistent GERD. The purpose of this study was to determine the frequency of postoperative symptoms requiring medical evaluation and/or treatment after fundoplication in children with or without associated medical disorders. In a retrospective cohort study, we reviewed the medical records of all children who underwent fundoplication during 1996-1999. Data were collected to analyze the following: (1) postoperative complications, (2) postoperative symptoms, (3) procedures performed to evaluate postoperative symptoms, (4) medical treatment, and (5) repeat surgery. A total of 198 children underwent fundoplication, and 176 (89%) came for follow-up evaluation within 2 months after surgery. The median age at the time of surgery was 2.1 y (range, 6 mo-18 y) and the median duration of follow-up was 2.0 y (range, 1.2-4.8 y). A total of 130 (74%) children had one or more associated medical disorders including neurodevelopmental delay (70%), cystic fibrosis (8%), tracheoesophageal anomalies (8%), bronchopulmonary dysplasia (8%), and reactive airway disease (35%). Postoperatively, children with associated medical disorders had a higher frequency of lung infections (52% vs. 22%, P = .03) and dumping syndrome (2% vs. 0%, P = .05). Most children (63%) received evaluation and treatment for symptoms suggestive of recurrent reflux despite fundoplication. Nearly two thirds of children who received fundoplication and were followed-up within 2 months after surgery either have symptoms or receive medical therapy for reflux. Fundoplication for the control of GERD in children needs further evaluation.

Results of surgical treatment of esophageal hiatal hernia in infancy and childhood : John L. Cahill, Eoin Aberdeen and David J. Waterston. Surgery 66:597–602, (September) 1969

Results of surgical treatment of esophageal hiatal hernia in infancy and childhood : John L. Cahill, Eoin Aberdeen and David J. Waterston. Surgery 66:597–602, (September) 1969

Treatment of Esophageal Hiatal Hernia

Esophageal hiatal hernia is now being accorded its rightful importance as a frequent cause of lower thoracic and upper abdominal complaints. Prior to 20 years ago, the roentgen demonstration of an esophageal hiatal hernia was looked upon as a medical curiosity. It is now well established that the symptomatology produced by the herniation may at times mimic that of cardiac disorders, biliary colic, duodenal ulcer, or even pulmonary disease. Many patients have been treated for the above-named disorders for varying periods of time before the correct diagnosis was arrived at. Internists are becoming more aware of the symptomatology produced by hiatal hernia, and an increasing number of patients are being referred for surgical correction of the anatomic defect. Also, the results following surgical repair have improved over the past decade due to a better understanding of the anatomic and physiologic derangements produced by the herniation. However, in spite of the

Gastropexy and “Fundoplication” in surgical treatment of hiatal hernia

The rationale and indications for gastropexy plus fundoplication in the surgical treatment of esophageal hiatal hernia are discussed. This intervention—considerably simpler than any method used hitherto—also appears to produce satisfactory long-term results.

The role of pneumoperitoneum in the nonsurgical treatment of esophageal hiatal hernia.

The role of pneumoperitoneum in the nonsurgical treatment of esophageal hiatal hernia.

Surgical considerations in treatment of esophageal hiatal hernia.

• Operations to correct esophageal hiatal hernia were done in 113 patients. Symptoms ascribed to it were present before operation in 78% of the patients, and there had been gastrointestinal bleeding in 19%. The hernia proved to be of the sliding type in 97 patients and of the paraesophageal (rolling) type in 16. Surgical repair can be done from either a thoracic or an abdominal approach. The latter was used in 57% of the cases and has the advantage that it may lead to the recognition and correction of intra-abdominal disease. Relief of symptoms was accomplished in most patients. The observed recurrence rate of 10% or more was such as to discourage attempts to repair small, asymptomatic esophageal hiatal hernias.