Cargando…

Surgical Interventions in Cases of Esophageal Hiatal Hernias among Older Japanese Adults: A Systematic Review

Background and Objectives: Given Japan’s superaging population, an increasing number of older adults in the country need surgical treatment for esophageal hiatal hernias. Accordingly, this systematic review examines surgical interventions for symptomatic esophageal hiatal hernias in older Japanese p...

Descripción completa

Detalles Bibliográficos
Autores principales: Horinishi, Yuta, Shimizu, Kai, Sano, Chiaki, Ohta, Ryuichi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8876223/
https://www.ncbi.nlm.nih.gov/pubmed/35208602
http://dx.doi.org/10.3390/medicina58020279
_version_ 1784658115276308480
author Horinishi, Yuta
Shimizu, Kai
Sano, Chiaki
Ohta, Ryuichi
author_facet Horinishi, Yuta
Shimizu, Kai
Sano, Chiaki
Ohta, Ryuichi
author_sort Horinishi, Yuta
collection PubMed
description Background and Objectives: Given Japan’s superaging population, an increasing number of older adults in the country need surgical treatment for esophageal hiatal hernias. Accordingly, this systematic review examines surgical interventions for symptomatic esophageal hiatal hernias in older Japanese patients and explores treatment outcomes. Materials and Methods: Articles on single operations for hiatal hernias published after 1991 were found on Google Scholar and Ichushi using specific keywords. Subsequently, articles fulfilling the predetermined inclusion criteria were considered in the study. Results: The mean patient age was 81.4 years, and the male-to-female ratio was 1:11.5. The main reasons for surgery were vomiting, dyspnea, and chest tightness. In terms of hernia classification, type IV was the most common (48%). Surgical modalities were laparoscopy in 15 cases, and laparotomy in 10 cases. Mean postoperative course was 26.47 days until hospital discharge, and there were no cases of perioperative death. Conclusions: Findings showed that multiple factors were involved in older adults’ prognoses, and age was not the only biological factor. Therefore, aggressive surgical intervention should be considered for symptomatic older patients, even in the absence of surgery indicators.
format Online
Article
Text
id pubmed-8876223
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-88762232022-02-26 Surgical Interventions in Cases of Esophageal Hiatal Hernias among Older Japanese Adults: A Systematic Review Horinishi, Yuta Shimizu, Kai Sano, Chiaki Ohta, Ryuichi Medicina (Kaunas) Systematic Review Background and Objectives: Given Japan’s superaging population, an increasing number of older adults in the country need surgical treatment for esophageal hiatal hernias. Accordingly, this systematic review examines surgical interventions for symptomatic esophageal hiatal hernias in older Japanese patients and explores treatment outcomes. Materials and Methods: Articles on single operations for hiatal hernias published after 1991 were found on Google Scholar and Ichushi using specific keywords. Subsequently, articles fulfilling the predetermined inclusion criteria were considered in the study. Results: The mean patient age was 81.4 years, and the male-to-female ratio was 1:11.5. The main reasons for surgery were vomiting, dyspnea, and chest tightness. In terms of hernia classification, type IV was the most common (48%). Surgical modalities were laparoscopy in 15 cases, and laparotomy in 10 cases. Mean postoperative course was 26.47 days until hospital discharge, and there were no cases of perioperative death. Conclusions: Findings showed that multiple factors were involved in older adults’ prognoses, and age was not the only biological factor. Therefore, aggressive surgical intervention should be considered for symptomatic older patients, even in the absence of surgery indicators. MDPI 2022-02-13 /pmc/articles/PMC8876223/ /pubmed/35208602 http://dx.doi.org/10.3390/medicina58020279 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Systematic Review
Horinishi, Yuta
Shimizu, Kai
Sano, Chiaki
Ohta, Ryuichi
Surgical Interventions in Cases of Esophageal Hiatal Hernias among Older Japanese Adults: A Systematic Review
title Surgical Interventions in Cases of Esophageal Hiatal Hernias among Older Japanese Adults: A Systematic Review
title_full Surgical Interventions in Cases of Esophageal Hiatal Hernias among Older Japanese Adults: A Systematic Review
title_fullStr Surgical Interventions in Cases of Esophageal Hiatal Hernias among Older Japanese Adults: A Systematic Review
title_full_unstemmed Surgical Interventions in Cases of Esophageal Hiatal Hernias among Older Japanese Adults: A Systematic Review
title_short Surgical Interventions in Cases of Esophageal Hiatal Hernias among Older Japanese Adults: A Systematic Review
title_sort surgical interventions in cases of esophageal hiatal hernias among older japanese adults: a systematic review
topic Systematic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8876223/
https://www.ncbi.nlm.nih.gov/pubmed/35208602
http://dx.doi.org/10.3390/medicina58020279
work_keys_str_mv AT horinishiyuta surgicalinterventionsincasesofesophagealhiatalherniasamongolderjapaneseadultsasystematicreview
AT shimizukai surgicalinterventionsincasesofesophagealhiatalherniasamongolderjapaneseadultsasystematicreview
AT sanochiaki surgicalinterventionsincasesofesophagealhiatalherniasamongolderjapaneseadultsasystematicreview
AT ohtaryuichi surgicalinterventionsincasesofesophagealhiatalherniasamongolderjapaneseadultsasystematicreview