Nonreflux complications of hiatal hernia.
Patients with massive incarcerated hiatal hernia and no appreciable esophagitis present with a distinctly different clinical picture from those with hiatal hernia and reflux peptic esophagitis. In a recent review, 17 patients were encountered with this problem. The patients were often elderly and presented with the following grave complications: upper gastrointestinal obstruction; upper gastrointestinal bleeding, both acute and chronic, from gastric ulcerations; and perforated gastric ulcerations. In these patients, the surgical approach is better accomplished through the abdominal route. These patients should be distinguished from those with a shortened esophagus resulting from chronic reflux peptic esophagitis who often require thoracotomy for surgical correction.
D000208:Acute Disease; D000328:Adult; D000368:Aged; D002908:Chronic Disease; D004942:Esophagitis, Peptic / Q000209:etiology* / Q000601:surgery; D005260:Female; D006548:Hernia, Diaphragmatic / Q000150:complications*; D006551:Hernia, Hiatal / Q000150:complications* / Q000601:surgery; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010438:Peptic Ulcer Hemorrhage / Q000209:etiology / Q000601:surgery; D010439:Peptic Ulcer Perforation / Q000209:etiology / Q000601:surgery; D013272:Stomach Diseases / Q000209:etiology / Q000601:surgery; D013276:Stomach Ulcer / Q000150:complications / Q000601:surgery