Paraesophageal hernias in the elderly. A case for laparoscopic surgery.

被引：0
|
作者：
Tabet, J [1 ]
Lacy, AM [1 ]
Grande, L [1 ]
Para, M [1 ]
GarciaValdecasas, JC [1 ]
Fuster, J [1 ]
Visa, J [1 ]
机构：
[1] UNIV BARCELONA,SERV CIRUGIA GEN & DIGEST,HOSP CLIN & PROV,BARCELONA 08036,SPAIN
来源：
REVISTA ESPANOLA DE ENFERMEDADES DIGESTIVAS | 1996年 / 88卷 / 11期
关键词：
paraesophageal hernia; gastric volvulus; laparoscopic fundoplication;
D O I：
暂无
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
Paraesophageal hernias are uncommon conditions which appear mainly in elderly people, frequently associated with sliding hernias or gastric volvulus, Considered a high risk pathology, surgical management is preferred to avoid serious complications. Due to advanced age and operative risks, a laparoscopic approach was performed in the three patients with paraesophageal hernia. In mixed hernias, a Nissen or Toupet fundoplication and closure of the hiatal defect was carried out. In a case with gastric rotation, reduction of the herniated stomach and posterior partial fundoplication with gastropexy was performed. No postoperative complications occurred and recovery was satisfactory. Laparoscopic management seems to be a good choice for elective treatment of paraesophageal hernias in elderly patients.
引用
收藏
页码：801 / 804
页数：4
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