Observation of interest in the surgical treatment of hiatal hernia
A patient with a sliding esophageal hiatal hernia with chronic digestive bleeding was operated upon by an abdominal approach, with Nissen's technique of fundoplication. His symptomatology of gastroesophageal reflux disappeared, but the bleeding persisted. A roentgenologic control showed that th...
| Autores: | , , |
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| Formato: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 1975 |
| País: | Uruguay |
| Recursos: | Sociedad de Cirugía del Uruguay |
| Repositorio: | Revista Cirugía del Uruguay |
| Idioma: | español |
| OAI Identifier: | oai:ojs2.revista.scu.org.uy:article/2618 |
| Acesso em linha: | https://revista.scu.org.uy/index.php/cir_urug/article/view/2618 |
| Access Level: | acceso abierto |
| Palavra-chave: | hernia de diafragmática complicaciones cirugía diaphragmatic hernia complications surgery |
| Resumo: | A patient with a sliding esophageal hiatal hernia with chronic digestive bleeding was operated upon by an abdominal approach, with Nissen's technique of fundoplication. His symptomatology of gastroesophageal reflux disappeared, but the bleeding persisted. A roentgenologic control showed that the plicated upper end of the stomach remained in the thorax. The authors discuss the origin of the persisting hemorrhage, concluding that the ectopic stomach was bleeding by a still obscure pathogenic mechanism. The patient was re-operated upon by a left thoracic approach; thefundoplication was undone and the stomach was replaced in the abdomen, fixing it according to Allison's technique. The bleeding was arrested and the patient was in good conditions two months and a half after.surgery. |
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