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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
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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 |
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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 |
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