[Bleeding from hiatal hernia (author's transl)].
Report on 7 cases of massive hemorrhage from hiatal hernias. In all cases diagnosis was made before operation by oesophago-gastroscopy and/or by selective angiography. Early operation is the only successful therapy. The procedure depends on the kind of lesion and the type of hernia. In sliding hernia a Nissen fundoplication, in the paraesophageal type a fundoplication combined with gastropexy is performed. In cases of hyperacidity a combination with vagotomy and pylorplasty is necessary. Ulcers should be excised or resected by a Billroth-I-type gastrectomy. All seven patients could be cured.
D000328:Adult; D000368:Aged; D004942:Esophagitis, Peptic / Q000209:etiology; D005260:Female; D005743:Gastrectomy; D005764:Gastroesophageal Reflux / Q000209:etiology; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000601:surgery; D006548:Hernia, Diaphragmatic / Q000150:complications*; D006551:Hernia, Hiatal / Q000150:complications* / Q000601:surgery; D006801:Humans; D008297:Male; D008309:Mallory-Weiss Syndrome / Q000209:etiology
Blutung aus der Hiatushernie