Cargando…

Severe Paraesophageal Hiatal Hernia Repair During a Sleeve Gastrectomy Surgery in a Morbidly Obese Patient

Morbid obesity increases the average risk of a patient developing a paraesophageal or hiatal hernia. Paraesophageal hernias (PEH) include several types, and their treatment is indubitably one of the most contentious topics in minimally invasive surgery. Though it is rare for PEH to manifest as a str...

Descripción completa

Detalles Bibliográficos
Autores principales: Mozafari, Kaveh, Miraaj-Raza, Sarah, Ilyas, Aadil, Joshi, Jahanvi, Ganesh, Vaishnavi, Tiesenga, Frederick
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10080968/
https://www.ncbi.nlm.nih.gov/pubmed/37033566
http://dx.doi.org/10.7759/cureus.35897
_version_ 1785021024161497088
author Mozafari, Kaveh
Miraaj-Raza, Sarah
Ilyas, Aadil
Joshi, Jahanvi
Ganesh, Vaishnavi
Tiesenga, Frederick
author_facet Mozafari, Kaveh
Miraaj-Raza, Sarah
Ilyas, Aadil
Joshi, Jahanvi
Ganesh, Vaishnavi
Tiesenga, Frederick
author_sort Mozafari, Kaveh
collection PubMed
description Morbid obesity increases the average risk of a patient developing a paraesophageal or hiatal hernia. Paraesophageal hernias (PEH) include several types, and their treatment is indubitably one of the most contentious topics in minimally invasive surgery. Though it is rare for PEH to manifest as a strangulated, volatilized intrathoracic stomach with infection, the increased risk of mortality is an indication for many to pursue surgical repair. Moreover, morbidly obese individuals represent a substantial rate of failure of PEH repairs. The modes of confirmation diagnostics are barium swallow or upper endoscopy. This case study focuses on a 64-year-old female who presented with several comorbidities, was appropriately evaluated for laparoscopic sleeve gastrectomy, and was previously identified to have a severe type III PEH with grade IV configuration. Additionally, the pathological finding from the extracted specimen was significant for helicobacter pylori gastritis.
format Online
Article
Text
id pubmed-10080968
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Cureus
record_format MEDLINE/PubMed
spelling pubmed-100809682023-04-08 Severe Paraesophageal Hiatal Hernia Repair During a Sleeve Gastrectomy Surgery in a Morbidly Obese Patient Mozafari, Kaveh Miraaj-Raza, Sarah Ilyas, Aadil Joshi, Jahanvi Ganesh, Vaishnavi Tiesenga, Frederick Cureus Medical Education Morbid obesity increases the average risk of a patient developing a paraesophageal or hiatal hernia. Paraesophageal hernias (PEH) include several types, and their treatment is indubitably one of the most contentious topics in minimally invasive surgery. Though it is rare for PEH to manifest as a strangulated, volatilized intrathoracic stomach with infection, the increased risk of mortality is an indication for many to pursue surgical repair. Moreover, morbidly obese individuals represent a substantial rate of failure of PEH repairs. The modes of confirmation diagnostics are barium swallow or upper endoscopy. This case study focuses on a 64-year-old female who presented with several comorbidities, was appropriately evaluated for laparoscopic sleeve gastrectomy, and was previously identified to have a severe type III PEH with grade IV configuration. Additionally, the pathological finding from the extracted specimen was significant for helicobacter pylori gastritis. Cureus 2023-03-08 /pmc/articles/PMC10080968/ /pubmed/37033566 http://dx.doi.org/10.7759/cureus.35897 Text en Copyright © 2023, Mozafari et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Medical Education
Mozafari, Kaveh
Miraaj-Raza, Sarah
Ilyas, Aadil
Joshi, Jahanvi
Ganesh, Vaishnavi
Tiesenga, Frederick
Severe Paraesophageal Hiatal Hernia Repair During a Sleeve Gastrectomy Surgery in a Morbidly Obese Patient
title Severe Paraesophageal Hiatal Hernia Repair During a Sleeve Gastrectomy Surgery in a Morbidly Obese Patient
title_full Severe Paraesophageal Hiatal Hernia Repair During a Sleeve Gastrectomy Surgery in a Morbidly Obese Patient
title_fullStr Severe Paraesophageal Hiatal Hernia Repair During a Sleeve Gastrectomy Surgery in a Morbidly Obese Patient
title_full_unstemmed Severe Paraesophageal Hiatal Hernia Repair During a Sleeve Gastrectomy Surgery in a Morbidly Obese Patient
title_short Severe Paraesophageal Hiatal Hernia Repair During a Sleeve Gastrectomy Surgery in a Morbidly Obese Patient
title_sort severe paraesophageal hiatal hernia repair during a sleeve gastrectomy surgery in a morbidly obese patient
topic Medical Education
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10080968/
https://www.ncbi.nlm.nih.gov/pubmed/37033566
http://dx.doi.org/10.7759/cureus.35897
work_keys_str_mv AT mozafarikaveh severeparaesophagealhiatalherniarepairduringasleevegastrectomysurgeryinamorbidlyobesepatient
AT miraajrazasarah severeparaesophagealhiatalherniarepairduringasleevegastrectomysurgeryinamorbidlyobesepatient
AT ilyasaadil severeparaesophagealhiatalherniarepairduringasleevegastrectomysurgeryinamorbidlyobesepatient
AT joshijahanvi severeparaesophagealhiatalherniarepairduringasleevegastrectomysurgeryinamorbidlyobesepatient
AT ganeshvaishnavi severeparaesophagealhiatalherniarepairduringasleevegastrectomysurgeryinamorbidlyobesepatient
AT tiesengafrederick severeparaesophagealhiatalherniarepairduringasleevegastrectomysurgeryinamorbidlyobesepatient