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Academic literature on the topic 'Hiatal hernia'

Author: Grafiati

Published: 4 June 2021

Last updated: 23 February 2023

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Journal articles on the topic "Hiatal hernia"

Puttaraju, Shashidhara, and Sanhitha Purushotham. "Study on incidence of hiatus hernia in patients undergoing upper gastrointestinal endoscopy for upper gastrointestinal symptoms in a secondary care hospital." International Surgery Journal 8, no. 3 (February 25, 2021): 935. http://dx.doi.org/10.18203/2349-2902.isj20210930.

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Background: Hiatus hernia refers to condition in which elements of the abdominal cavity, most commonly the stomach, herniate through the oesophageal hiatus into the mediastinum.Hiatal hernia is a frequent finding during upper gastrointestinal endoscopy. Type I hiatal hernia is the sliding hiatal hernia, which accounts for more than 95% of all hiatal hernias with the remaining 5% being paraesophageal hiatal hernias taken together. Surgical therapy is recommended for patients with severe and refractory GERD symptoms such as poor compliance to long-term medical therapy and young patients wishing to avoid lifetime medical treatment. The objective of this study was to identify the associated symptoms and to determine diagnostic accuracy of endoscopic evaluation in patients with hiatus hernia.Methods: Current retrospective study comprised of 250 patients who presented with complaints of upper gastrointestinal symptoms and underwent upper gastrointestinal endoscopy in JSS hospital, Chamarajnagar during the period of October 2018 to May 2020.Results: Out of 250 patients, 162 males (64.8%) and 88 females (35.2%) were part of the study, who presented with upper GI symptoms, 12 (4.8%) patients were diagnosed with hiatus hernia. Out of these 12 cases, 9 patients (75%) were found to be having sliding type of hiatus hernia and 3 patients (25%) having rolling type.Conclusions: Early diagnosis and timely management or surgical intervention reduces morbidity associated with hiatus hernia and acid reflux. Hence, all patients presenting with persistent upper gastrointestinal symptoms should undergo upper GI endoscopy managed accordingly.

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Tatum, James M., Kamran Samakar, Michael E. Bowdish, Wendy J. Mack, Nikolai Bildzukewicz, and John C. Lipham. "Videoesophagography versus Endoscopy for Prediction of Intraoperative Hiatal Hernia Size." American Surgeon 84, no. 3 (March 2018): 387–91. http://dx.doi.org/10.1177/000313481808400322.

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Magnetic sphincter augmentation is a novel surgical procedure for gastroesophageal reflux disease. Limited dissection at the hiatus is one of the benefits of the procedure, but makes precise and accurate preoperative assessment of even small hiatal hernia critical. Retrospective cohort study of 136 patients having undergone both endoscopy (EGD) and videoesophagography followed by operative assessment for hiatal hernia during magnetic sphincter augmentation. The objective of the study is to determine which preoperative modality more accurately predicts operative hiatal hernia size. Videoesophagography underestimated operative measurement by 0.37 ± 1.41 cm ( P = 0.003) and was less accurate in predicting intraoperative hiatal hernia size than EGD on linear regression analysis (β -0.729, SE 0.057, P < 0.001). EGD was less accurate at predicting hiatal hernia size as patient age increased (β -0.018, SE 0.007, P = 0.014) and with larger hernias (β -0.615, standard error (SE) 0.067, P < 0.001); however, endoscopic measurements did not differ significantly from intraoperative measurements (0.93 ± 1.23 cm vs 1.12 ± 1.43 cm, P = 0.12). EGD better predicts the size of small hiatal hernia measured during subsequent laparoscopic surgery.

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Ushimaru, Yuki, Kiyokazu Nakajima, Tsuyoshi Takahashi, Makoto Yamasaki, Masaki Mori, and Yuichiro Doki. "Occult Hiatal Hernia in Achalasia Patients: Its Incidence and Treatment Options." Digestive Surgery 36, no. 5 (October 10, 2018): 418–25. http://dx.doi.org/10.1159/000491707.

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Background: Achalasia patients occasionally coexist with esophageal hiatal hernias. The purpose of this study was to clarify the incidence and clinical features of achalasia cases concomitant with hiatal hernia, and to investigate whether our surgical technique was appropriate. Methods: Consecutive achalasia patients who underwent laparoscopic Heller myotomy with Dor fundoplication (LHD) were extracted from the prospectively compiled surgical database, and the perioperative outcomes and the presence rate of hiatal hernia were obtained. Results: We enrolled 58 patients with LHD from 2005 to 2016. Hiatal hernia was seen in 12 patients (20.7%) without preoperative diagnosis. There was no significant difference in preoperative symptoms between patients with and without hiatal hernia. In 6 patients with trivial hiatal hernia, we did not perform hernia repair. In 6 cases with large hiatal hernia, cruroplasty was added. No serious postoperative complications were observed in either of the groups and no patient required reoperation. Symptoms were improved in all patients postoperatively. Residual symptoms were successfully treated with medication, and no patient experienced severe reflux esophagitis or required hiatal hernia repair after surgery. Conclusion: Hiatal hernia was found in 20.7% of patients who received surgical treatment for achalasia, but no cases were diagnosed prior to surgery.

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Akhmatov, Akhmat M., Ivan S. Tarbaev, and Dmitrij I. Vasilevsky. "The history of development of hiatal hernias’ surgery." Pediatrician (St. Petersburg) 9, no. 3 (December 15, 2018): 77–80. http://dx.doi.org/10.17816/ped9377-80.

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The article presents the main stages of formation of modern ideas about hiatal hernias as one of the most frequent variants of visceral anatomy’s impairment. The history of development of hiatal hearnias’ surgery is presented from the moment of its birth to the present time. According to modern ideas hiatal hernias are considered to be a chronic recurrent disease when abdominal part of esophagus, part of stomach or other internal is dislocated into a mediastenum and hernia ring is presented by esophageal hiatus. During the long time hiatal hernias were considered to be just the anatomical phenomenon. It’s known that Angello Soresi was the first American surgeon who performed an operation on hiatal hernia in 1919. A lot of original techniques of hiatal hernias’ surgery were devised in 1950. Operations developed by American surgeon – Ronald Belsey and European clinicians – Philip Allison and others became mostly widespread. During the next 10 years (1960-1970) techniques with obligatory antireflux component were offered. Most effective and popular operations which are used nowadays are ones that were developed by Rudolph Nissen, Andre Toupet, Lucius Hill and others. New stage of hiatal hernias` surgery started at 90’s of the XX century – the century of laparoscopic technologies’ wide application into clinical practice. Bernard Dallemagen performed such an operation for the first time in 1991. V.A. Kubyshkin, V.D. Fedorov and many others became the ideologists and pioneers of laparoscopic surgery of haital hernias in Russia. Application of new treatment methods and standardization of most surgical techniques permitted to increase efficiency and safety of hiatal hernias’ surgery.

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Grząsiak, Oliwia, Adam Durczyński, Piotr Hogendorf, Alicja Majos, and Janusz Strzelczyk. "Tension-Free Hiatal Hernia Repair Using Ligamentum Teres in Paraoesophageal Hernia Treatment." Polish Journal of Surgery 95, no. 4 (November 18, 2022): 1–5. http://dx.doi.org/10.5604/01.3001.0016.0958.

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Abstract Introduction Type II and III (paraoesophageal and mixed) hiatal hernia treatment remains a technically difficult procedure carrying a risk of complications and recurrence as high as 40%. Using synthetic meshes entails possible serious complications; efficacy of biologic materials remains unclear and requires further research. Aim The aim of the article was to present the centre’s experience of type II and III large hiatal hernia treatment using the ligamentum teres and to draw attention to potential benefits of conducted procedures. Material and Methods The study enrolled 6 patients: 3 women and 3 men aged 37-58 with radiologically and endoscopically confirmed large paraoesophageal hernias. The patients underwent Nissen fundoplication and hiatal hernia repair using the ligamentum teres. The patients were followed up for six months with subsequent radiological and endoscopic assessment. Results During the six-month follow-up no clinical or radiological characteristics of hiatal hernia recurrence were observed in the patients. Two patients reported symptoms of dysphagia; mortality was 0%. Conclusions Hiatal hernia repair using the vascularized ligamentum teres may constitute an effective and safe method of large hiatal hernia repair.

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Watson, Thomas J., and Kathryn M. Ziegler. "The Pathogenesis of Hiatal Hernia." Foregut: The Journal of the American Foregut Society 2, no. 1 (March 2022): 36–43. http://dx.doi.org/10.1177/26345161221083020.

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Hiatal hernia is a common malady and an important contributor to the pathophysiology of gastroesophageal reflux disease (GERD). Hiatal herniation is thought to result from any of several causes including transdiaphragmatic pressure gradients; congenital or acquired abnormalities in the cellular structure, biochemical composition, or geometry of the hiatus; or esophageal shortening due to fibrosis. Since no single theory explains the development of a hiatal hernia in all cases, or the reasons behind progression of some and not others, the pathogenesis of hiatal herniation likely is multifactorial and varies between individuals. A comprehension of the factors leading to hiatal hernia formation is important to their prevention and correction as well as to an understanding of the pathogenesis of GERD.

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Rozenfel'd, Igor I. "Current issues of surgical treatment of large and giant hiatal hernias." Medical Journal of the Russian Federation 27, no. 3 (May 15, 2021): 291–98. http://dx.doi.org/10.17816/0869-2106-2021-27-3-291-298.

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This work analyzes Russian and international literature sources that discuss the surgical intervention results for large and giant hiatal hernias. To date, there is no uniform classification of hiatal hernias by the size of the hernial defect. The classifications and algorithms for choosing the plastic method proposed by various authors provide no convincing evidence base. Although there are many methods for surgically correcting hiatal hernia, clear indications for their implementation have not been developed. The postoperative complications and relapses of the disease after surgery represent an unresolved issue. The laparoscopic approach for large and giant hiatal hernias is preferable to open surgery. However, it can lead to serious intra- and postoperative complications, especially in emergency cases. Alloplasty provides clinical improvement and an increase in the quality of life of patients, but has a relatively high risk of recurrence. To date, the treatment of hiatal hernias involves using various prosthetic materials, and their advantages and disadvantages are described in this article. Thus, the search for optimal surgical techniques to treat large and giant hiatal hernias continues.

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Abbood, Ali, Hareer Al Salihi, Jorge Parellada, Mario Madruga, and S. J. Carlan. "A Large Intrathoracic Hiatal Hernia as a Cause of Complete Heart Block." Case Reports in Cardiology 2021 (July 9, 2021): 1–4. http://dx.doi.org/10.1155/2021/6697016.

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Hiatal hernia is a not uncommon anatomic disorder resulting in portions of the bowel occupying space in the thoracic cavity. There are a number of antecedent risk factors including obesity but not hiatal hernias resulting in symptoms. When symptoms do occur, they can include chest pain, nausea, abdominal pain, and gastroesophageal reflux. Cardiac arrhythmias have also been reported as associated conditions resulting from a hiatal hernia. To date, however, a complete heart block secondary to a hiatal hernia has not been reported. An 88-year-old female with a history of GERD (gastroesophageal reflux disease) was found to have a large hiatal hernia at endoscopy after she presented to the emergency department with nausea and abdominal pain. Prior to her scheduled surgical repair, she developed symptomatic third degree heart block which resolved with nasogastric tube deflation of the gastric contents. After surgical repair of the hiatal hernia, she developed episodes of atrial fibrillation with rapid ventricular response and was started on diltiazem. She eventually converted back to normal sinus rhythm and remained dysrhythmia free. In addition to other known arrhythmias associated with hiatal hernia, a complete heart block can also be seen. Acute management requires deflation of the chest occupying hernia. This appears to be the one of the first reported cases of complete heart block caused by hiatal hernia.

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Arcerito, Massimo, Eric Changchien, Monica Falcon, Mauricio A. Parga, Oscar Bernal, and John T. Moon. "Robotic Fundoplication for Gastroesophageal Reflux Disease and Hiatal Hernia: Initial Experience and Outcome." American Surgeon 84, no. 12 (December 2018): 1945–50. http://dx.doi.org/10.1177/000313481808401242.

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Gastroesophageal reflux disease, associated with sliding or large paraesophageal hiatal hernia, represents a common clinical presentation. The repair of large paraesophageal hiatal hernias is still a challenge in minimally invasive surgery. Between March 2014 and August 2016, 50 patients (18 males and 32 females) underwent robotic fundoplication (17 sliding and 33 paraesophageal hernias). The mean age of the patients was 58 years. Biosynthetic mesh was used in 28 patients with paraesophageal hernia. The mean operative time was 115 minutes (90–132) in the sliding hiatal hernia group, whereas it was 200 minutes (180–210) in the paraesophageal hiatal hernia group. The mean hospital stay was 36 hours (24–96). Eight patients experienced mild dysphagia which resolved after four weeks. No postoperative dysphagia was recorded at 30-month median follow-up. We experienced one recurrence in the sliding hernia group and two recurrences in the paraesophageal hernia group, with two patients treated robotically. Robotic fundoplication in treating sliding hiatal hernia is feasible and safe but is more challenging in the large paraesophageal group. Improved patient outcomes hinge on the operative technique used and increasing surgeon experience. The increased dexterity that robotic surgery affords enables the esophageal surgeon to more adeptly apply the traditional principles of laparoscopic fundoplication.

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Patoulias, Dimitrios, Maria Kalogirou, Thomas Feidantsis, Ignatios Kallergis, and Ioannis Patoulias. "Paraesophageal Hernia as a Cause of Chronic Asymptomatic Anemia in a 6 Years Old Boy; Case Report and Review of the Literature." Acta Medica (Hradec Kralove, Czech Republic) 60, no. 2 (2017): 76–81. http://dx.doi.org/10.14712/18059694.2017.97.

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Esophageal hiatal hernia is defined as the prolapse of one or more intra-abdominal organs through the esophageal hiatus. Four types are identified: type Ι or sliding hiatal hernia, type II or paraesophageal hernia (PEH), type III or mixed hernia and type IV. Congenital type II esophageal hiatal hernia is caused by a remaining gap after the formation of pleuroperitoneal membrane. We present a case of a six years old boy admitted to our department, appearing with asymptomatic anemia, who was incidentally diagnosed with Type II esophageal hiatal hernia. After diagnostic investigation, the prolapsing stomach pouch was reduced, the hernia sac was excised, the crura of diaphragm were converged and a total fundoplication was performed, via open method. The patient had an uncomplicated postoperative period. We conclude that: 1) esophageal hiatal hernia should be included within diagnostic approach of a child with chronic non-hereditary anemia, 2) after a Type II esophageal hiatal hernia is diagnosed, a hernia repair surgery is indicated in short time, due to the severity of possible complications and 3) through the performance of total fundoplication, it is secured that the subdiaphragmatic abdominal part of esophagus will be retained, preventing the development of post-operative gastroesophageal reflux disease.

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Dissertations / Theses on the topic "Hiatal hernia"

Naoum, Christopher. "Pathophysiological mechanisms of cardiogenic dyspnoea in patients with large hiatal hernia." Thesis, The University of Sydney, 2015. http://hdl.handle.net/2123/13891.

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The pathophysiological mechanisms of cardiogenic dyspnoea in patients with large hiatal hernia (HH) are poorly understood. Data obtained from 163 HH patients (Doppler-echocardiography, cardiac CT, MRI, respiratory function and exercise testing) were analysed. Cardiac compression in HH patients involves the left atrium (LA), coronary sinus, inferior pulmonary veins and posterobasal left ventricle; and is associated with significant exercise impairment that improves following corrective surgery. LA compression appears to modulate atrial function at rest to preserve left ventricular (LV) filling by increasing passive LA emptying function to compensate for decreased active emptying volume. LA filling is impaired further after a standardised meal and during preload reduction induced by Valsalva manouevre. Baseline exercise capacity is independently predicted by LA compression and right ventricular outflow tract diameter and, moreover, the improvement in exercise capacity post-operatively is independently predicted by the magnitude of increase in LA diameter. While improvements in lung volumes and reduced gas-trapping are also seen following HH surgery, these are relatively modest compared to the significant resolution of cardiac compression and improvement in exercise capacity. This thesis has systematically defined the cardiac pathophysiology associated with cardiac compression in HH patients and the relationship between these abnormalities and exercise impairment.

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Винниченко, Людмила Боголюбівна, Людмила Боголюбовна Винниченко, Liudmyla Boholiubivna Vynnychenko, and О. Г. Гапонова. "Хіатальна грижа - детермініруючий фактор ефективної кислотопригнічуючої дози рабепразолу у хворих на ГЕРХ." Thesis, Видавництво СумДУ, 2003. http://essuir.sumdu.edu.ua/handle/123456789/9048.

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Andrici, Juliana. "Barrett's esophagus and its association with hiatal hernia, cigarette smoking and colonic tumors." Thesis, The University of Sydney, 2013. http://hdl.handle.net/2123/11810.

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Introduction and Aims Barrett's esophagus (BE) is a premalignant condition to esophageal adenocarcinoma involving metaplasia of the esophageal epithelium. Since BE was first identified and described, it has been closely associated with hiatal hernia. The strength of the relationship has never been quantified, nor has the association, adjusted for confounders such as obesity and reflux, been examined. Male gender, obesity and reflux are well recognized risk factors for BE, however it is less certain what role environmental factors such as cigarette smoking play in the development of the condition. The association of BE with colonic tumors has also been speculated on but not clearly established. The aim of this thesis was to further explore the epidemiology of BE, specifically the relationship between BE and hiatal hernia, cigarette smoking and colonic tumors, through meta-analyses. Methods Three meta-analyses and systematic reviews were conducted, quantifying the relationship between BE and hiatal hernia, cigarette smoking and colonic tumors, respectively. Four electronic databases (Medline, PubMed, Embase, and Current Contents Connect) were searched for observational studies of BE patients. Pooled odds ratios (ORs) and 95% confidence intervals (CIs) were calculated using a random effects model for the association BE with hiatal hernia, cigarette smoking and colonic tumors. Results A positive relationship was observed between BE and hiatal hernia, which remained even after adjusting for reflux. Cigarette smoking was associated with an increased risk of BE. This was reflected in subgroup analyses of ever-, current- and former-smokers. BE was also associated with colonic tumors. The relationship was observed with both benign adenomatous tumors as well as with colorectal cancer, though it was stronger for colorectal cancer. Conclusions The association between BE and hiatal hernia is stronger for long segment BE when compared with short segment BE, and it appears to be independent of reflux. BE patients are also more likely to have ever smoked cigarettes. BE is associated with colonic tumors, with the association being stronger with colorectal cancer than with benign lesions.

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Diemen, Vinícius von. "Hérnia hiatal e doença do refluxo gastroesofágico : estudo do colágeno na membrana frenoesofágica." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2015. http://hdl.handle.net/10183/139794.

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Introdução: A doença do refluxo gastroesofágico (DRGE) é definida pela intensidade e/ou qualidade de refluxo do conteúdo gástrico ou duodenal para o esôfago. O tratamento cirúrgico da DRGE tem mostrado resultados conflitantes e índices inaceitáveis de recidiva, principalmente devido a migração da válvula anti-refluxo para o tórax. Variações técnicas têm sido propostas com objetivo de diminuir a recidiva da DRGE, inclusive com uso rotineiro de prótese na hiatoplastia. A prevalência de DRGE em portadores de HH pode chegar a 94%. A membrana frenoesofágica (MFE) que atua na estabilização da junção esofagogástrica no abdômen pode ser um fator etiológico da hérnia hiatal (HH)? Conduzimos um estudo para avaliar o colágeno na constituição da MFE de pacientes com HH e cadáveres sem HH. Métodos: Foram coletadas amostras da MFE de 29 pacientes com HH e DRGE (casos) e amostras de 32 cadáveres sem HH (controles). O colágeno total foi quantificado pela técnica histoquímica de Picrossirius e o colágeno tipo I e tipo III por imuno-histoquímica (anticorpo monoclonal). As imagens das lâminas coradas foram fotografadas, armazenadas em arquivo.tiff e quantificadas por programa de computador (Image Pro Plus) para contagem de pixels por campo. Resultados: A média de idade dos casos foi de 49,5 (±11,5) anos e dos controles foi de 38,5 (±13) (p<0,01). Em relação ao gênero, 58,6% (17) dos casos e 18,75% (6) dos controles eram do sexo feminino (p<0,01). A quantidade, em pixels por campo, de colágeno total (p<0,01), tipo I (p<0,01) e tipo III (p<0,05) foi significativamente menor, em torno de 60%, nos pacientes com HH em relação aos controles. Conclusão: Nossos dados demonstram que a constituição da MFE dos pacientes com HH e DRGE tem menor quantidade de colágeno total, tipo I e tipo III que a MFE de cadáveres sem HH. A qualidade da MFE pode ser um fator etiológico para o desenvolvimento da HH.
Background: Gastroesophageal reflux disease (GERD) is defined by the intensity and/or quality of the reflux of gastric or duodenal contents into the esophagus. Surgical treatment of GERD has shown conflicting results and unacceptable recurrence rates, mainly due to herniation of the antireflux valve into the chest. A variety of techniques have been proposed to reduce GERD recurrence, including routine use of prosthesis in cruroplasty. The prevalence of GERD in patients with hiatal hernia (HH) can reach 94%. It is possible that the phrenoesophageal ligament (POL) engaged in the stabilization of the gastroesophageal junction in the abdomen may be an etiologic factor of HH. We conducted a study to evaluate collagen in the constitution of the POL in patients with HH and cadavers without HH. Methods: POL samples were collected from 29 patients with HH and GERD (cases) and 32 samples from cadavers without HH (controls). Total collagen was quantified through the Picro-Sirius histochemical technique, and type-I and type-III collagens were quantified immunohistochemically using a monoclonal antibody. The stained slides were photographed, and images were quantified by computer software (Image Pro Plus) to count the pixels per field. Results: The mean age was 49.5 (±11.5) years for the cases and 38.5 (±13) years for the controls (p < 0.01). Seventeen cases (58.6%) and 6 controls (18.75%) were female (p < 0.01). The quantity of total (p < 0.01), type-I (p < 0.01), and type-III (p < 0.05) collagen was significantly lower, about 60%, in patients with HH compared to controls. Conclusion: Our data indicate that the composition of POL for patients with GERD and HH has fewer total, type I and type III collagen than that of the POL of cadavers without HH. The quality of the POL may be an etiological factor in the development of HH.

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Baracho, Ana Sofia Esperança da Palma. "Hérnias diafragmáticas congénitas : revisão bibliográfica a propósito de três casos clínicos." Master's thesis, Universidade Técnica de Lisboa. Faculdade de Medicina Veterinária, 2011. http://hdl.handle.net/10400.5/3773.

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Dissertação de Mestrado Integrado em Medicina Veterinária
Entende-se como hérnia diafragmática (HD) um deslocamento de órgãos abdominais para a cavidade torácica (CT) através de uma solução de continuidade anómala do diafragma. Pode ser adquirida ou congénita, compreendendo este grupo as hérnias diafragmáticas peritoneopericárdicas (HDPP), as hérnias diafragmáticas pleuroperitoneais (HDPlP) e as hérnias do hiato (HH), sendo as primeiras as mais frequentes. A etiologia destas alterações não está totalmente esclarecida, apontando as teorias mais defendidas uma lesão embrionária ou uma alteração da embriogénese como causa. Por norma os cães ou gatos afectados são diagnosticados numa idade precoce. No entanto, se não apresentarem sintomas, a malformação pode ser detectada numa idade mais avançada ou não o ser de todo. O desencadeamento da sintomatologia clínica está associado ao deslocamento do conteúdo abdominal para a CT, sendo os sintomas, por essa razão, fundamentalmente do foro respiratório e gastrointestinal. Dada a inespecificidade dos sinais clínicos, é de extrema importância o exame cuidado dos pacientes. A informação conseguida através da recolha da história prévia do animal, dos sinais clínicos por ele apresentados e da realização do exame físico irá orientar o clínico para um diagnóstico provisório de hérnia diafragmática congénita (HDC). Não obstante, é fundamental recorrer a meios de diagnóstico complementar para se chegar a uma conclusão definitiva. Geralmente, a radiografia e a ecografia são os meios considerados essenciais e decisivos para o estabelecimento do diagnóstico final de HD, podendo recorrer-se a outros métodos auxiliares (estudos radiográficos de contraste, tomografia axial computadorizada (TAC)) quando o mesmo não é possível. Devido à probabilidade do agravamento da hérnia e às complicações que podem surgir, a correcção cirúrgica é a medida terapêutica considerada preferencial, apesar de se poder recorrer ao tratamento médico em alguns casos. De uma forma geral, o prognóstico das HDC corrigidas cirurgicamente é excelente, sendo tanto melhor quanto mais precocemente se proceder à correcção cirúrgica. Durante o período de estágio no Instituto Veterinário do Parque (IVP), foram seguidos 3 casos clínicos de HDC, dos quais apenas em dois foi diagnosticada à partida a existência de uma hérnia. Os três animais foram submetidos a intervenção cirúrgica, tendo recuperado com sucesso após a mesma.
ABSTRACT - Congenital Diaphragmatic Hernias: bibliographic review regarding three clinical cases - Diaphragmatic hernia is a protrusion of abdominal organs into the thoracic cavity through an abnormal opening in the diaphragm. It may be either acquired or congenital in origin. The last group includes peritoneopericardial diaphragmatic hernias, the most frequent ones, pleuroperitoneal diaphragmatic hernias and hiatal hernias. The etiology of these defects is not totally clarified. The most accepted theories point to an embryo lesion or an embryogenesis accident as a possible cause. Usually, affected dogs or cats are diagnosed in an early age. However, if they are not symptomatic, the defect may be diagnosed only at an advanced age or not even be diagnosed at all. Clinical signs are associated with abdominal viscera displacement into the thoracic cavity, therefore the symptoms are essentially related to the respiratory and gastrointestinal systems. Because clinical signs are not specific, it is extremely important to perform a careful examination of the patients. Information about the animal history, as well as information obtained from clinical signs and physical examination, will guide the clinic to a provisional congenital diaphragmatic hernia diagnosis. Nevertheless, it is essential to use alternative diagnosis techniques to get to a definitive conclusion. Frequently, radiography and ultrasonography are essential and decisive to establish a final diagnosis of the diaphragmatic hernia. However, if it cannot be achieved this way, additional methods (for example, contrast studies or computer tomography) may also be undertaken. Due to the probability of hernia aggravation and the following complications, surgical correction is the recommended treatment, although medical treatment can be attempted in some cases. Generally, the prognosis for surgically treated congenital diaphragmatic hernias is excellent and even with better results when an early surgery is performed. During the training period at IVP, three cases of congenital diaphragmatic hernia were followed. Only in two of them was an existing hernia initially diagnosed. All the three animals

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Brandalise, André 1970. "Resultados tardios do uso de próteses no tratamento cirúrgico das grandes hérnias de hiato." [s.n.], 2015. http://repositorio.unicamp.br/jspui/handle/REPOSIP/312949.

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Orientador: Nelson Adami Andreollo
Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas
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Resumo: Introdução: o tratamento cirúrgico da doença do refluxo gastroesofágico através da fundoplicatura realizada por videolaparoscopia apresenta bons resultados a longo prazo e é amplamente aceita como alternativa à manutenção do tratamento medicamentoso. Entretanto, a abordagem cirúrgica aos pacientes portadores de grandes hérnias de hiato ainda é motivo de discordância entre os especialistas. O uso de prótese para reforçar a hiatoplastia é proposta por alguns e descartada por outros, especialmente por temor de complicações relacionadas à prótese. Objetivo: realizar uma análise dos resultados a longo prazo do uso de próteses para reforço da hiatoplastia em pacientes com grandes hérnias de hiato tratadas por videolaparoscopia. Método: realizamos análise retrospectivo com 78 pacientes operados entre janeiro de 2000 e fevereiro de 2011 que eram portadores de grandes hérnias e que foram tratados através de cirurgia videolaparoscópica com emprego de próteses para reforço da hiatoplastia. Foram incluídos no estudo pacientes com tamanho do hiato superior a 5 cm de diâmetro, em hérnias primárias ou recidivadas. As próteses estudadas foram: polipropileno ¿ em modelo de implantação original, desenvolvido em nosso serviço ¿ e biológica absorvível. O acompanhamento foi realizado através de entrevista clínica e exames complementares ¿ endoscopia digestiva alta e/ou radiografias contrastadas de esôfago, estômago e duodeno. Resultados: observou-se maior presença de pacientes do sexo feminino (69%). A idade variou de 33 a 83 anos. A média de idade nos pacientes com hérnias primárias foi 64,7 anos, enquanto que nas hérnias recidivadas, foi de 52,3 anos. Essa diferença foi estatisticamente significante (p=0,0001). O tempo de seguimento médio foi de 45,8 meses para hérnias primárias e 61,4 meses para as recidivadas. (p=0,09). Na entrevista, 64 pacientes (82,0%) permaneciam assintomáticos, 7 (9,0%) queixavam-se de refluxo, 3 (3,9%) apresentavam disfagia e 4 (5,2%) relataram problemas com gases. Foram realizados exames complementares em 68 pacientes (87,2%). Destes 54 (79,4%) apresentavam exames normais, enquanto 14 (20,6%) apresentavam recidiva (da hérnia ou de esofagite). No grupo de hérnia primária ocorreram recidivas em seis pacientes (13%) e no grupo de hérnias recidivadas, oito (36,4%) apresentaram nova recorrência e essa diferença foi estatisticamente significante (p=0,05). Segundo o tipo de prótese, nos pacientes em que foi empregada a prótese de polipropileno, 13,5% apresentavam recidiva anatômica enquanto que na prótese biológica este valor foi de 31,2%, mas essa diferença observada não atingiu nível de significância estatística (p=0,13). Não foram observadas complicações relacionadas à prótese. Conclusão: O uso de prótese de polipropileno, segundo o modelo apresentado, é seguro a longo prazo e tem baixos índices de recidiva a longo prazo. A prótese biológica apresentou maiores índices de recidiva. Nas hérnias de hiato recidivas, os índices de recidiva são maiores que nas hérnias primárias
Abstract: Introduction: the surgical treatment of gastroesophageal reflux disease by laparoscopic fundoplication has good long-term results and is widely accepted as an alternative to the maintenance of medical treatment. However, surgical approach to patients with large hiatal hernias still causes disagreement among the experts. The use of prosthesis to enhance hiatus is proposed by some and dismissed by others, especially for fear of complications related to the prosthesis. Objective: To perform an analysis of long-term results of the use of prostheses for strengthening hiatoplasty in patients with large hernias treated by laparoscopy. Method: We performed a retrospective analysis of 78 patients operated between January 2000 and February 2011 with large hernias treated by laparoscopic surgery with the use of prostheses for strengthening hiatoplasty. The study included patients with hiatos larger than 5 cm in diameter, in primary or recurrent hernias. The prostheses were: polypropylene - in original model of implementation, developed in our service - and absorbable biological. The monitoring was performed by clinical interview and objective tests - endoscopy and / or barium contrast x-rays of esophagus, stomach and duodenum. Results: there was a higher presence of female patients (69%). The age ranged 33-83 years. The mean age of the patients was 64.7 years in primary hernias, whereas in the recurrent hernias, was 52.3 years. This difference was statistically significant (p = 0.0001). The mean follow-up was 45.8 months for primary hernias and 61.4 months for recurrent. (p = 0.09). In the interview, 64 patients (82.0%) remained asymptomatic, 7 (9.0%) complained of reflux, 3 (3.9%) had dysphagia and 4 (5.2%) reported problems with gas. Objective tests were performed in 68 patients (87.2%). Of these 54 (79.4%) had normal results, while 14 (20.6%) had recurrence (hernia or esophagitis). In the primary hernia group relapses occurred in six patients (13%) and in the recurrent hernia group, eight (36.4%) had recurred and this difference was statistically significant (p = 0.05). According to the type of prosthesis, in patients in whom we used the polypropylene prosthesis, 13.5% had anatomic recurrence while on the biological prosthesis this value was 31.2%, but this difference did not reach statistical significance level (p = 0.13). There were no complications related to the prosthesis. Conclusion: The use of polypropylene mesh, according to the presented model, is safe in the long term and have low recurrence rates. The biological prostheses showed higher recurrence rates. In patientes with recurrent hernias, the recurrence rates are higher than in primary hernias
Doutorado
Fisiopatologia Cirúrgica
Doutor em Ciências

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Neto, Jorge Henrique Reina. "Hiatoplastia com utilização de prótese de polipropileno revestida pelo grande omento : estudo experimental em coelhos." Universidade de São Paulo, 2008. http://www.teses.usp.br/teses/disponiveis/5/5132/tde-16122008-165330/.

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É polêmica a utilização de próteses de qualquer natureza no hiato esofágico. Para estudar esse assunto realizamos este trabalho científico. Foram operados 24 coelhos da raça Nova Zelândia, machos, durante o período médio de 32,08 dias, que foram divididos em 2 grupos. No grupo 1 utilizou-se tela de polipropileno fixada aos braços do pilar medial do diafragma, sem a aproximação destes, usando-se como método de barreira o Omento maior. No grupo 2 foi somente colocada a prótese fixada ao pilar diafragmático, obedecendo-se o princípio da livre tensão sem anteparo algum. Estudos macroscópicos e microscópicos com vários métodos de coloração e com microscopia eletrônica de transmissão e varredura avaliaram a superfície de integração da tela de polipropileno ao tecido conjuntivo da região do hiato esofágico. Houve envolvimento total da tela de polipropileno por tecido conjuntivo nos dois grupos e o tecido adiposo permaneceu viável como método de barreira, durante o período estudado. Não houve esgarçamento da sutura da tela nem lesões em órgãos vizinhos. As aderências foram todas de grau II nos animais do grupo I (experimento) e mais firmes, grau III no grupo 2 (controle) segundo classificação de Shimanuki. Concluimos que, no presente estudo a utilização da tela foi possível nos 2 grupos, com e sem omento. A presença do Omento maior envolvendo a tela não alterou os parâmetros estudados o que permite supor que a técnica proposta tem resolução biológica semelhante a da utilização de prótese sem barreira
Hiatoplasty with prosthesis is considered a polemic procedure. Therefore, we decided to study the utilization of polypropilene prosthesís at this anatomical site. Twenty four New Zealand male rabbits were operated on. Polypropilene prosthesis wrapped with omentum used in group 01. Polypropilene prosthesis only ( without omentum wrapping) was used in group 02. In both groups the prosthetic material was fixed, in a tension free manner, to the medial pillar os the diaphragm muscle. An average of 32,08 days after hiatoplasty, the animals were sacrificed. The operated site underwent macroscopic and microscopic studies with several methods. The latter studies were carried out by several optic histology méthods and by electronic microscopy (transmission and scanning) These studies were able to assess the integration surface of the mesh by conjunctive tissue was obtained. The results suggest that the great omentum is a suitable material to be used as a barrier method

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Conrado, Leonardo Menegaz. "Existe associação entre dismotilidade esofágica e hérnia hiatal em pacientes com doença do refluxo gastroesofágico?" reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2010. http://hdl.handle.net/10183/29035.

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Introdução: A fisiopatologia da Doença do Refluxo Gastroesofágico (DRGE) é multifatorial, sendo a motilidade esofágica um dos fatores implicados na sua gênese. Todavia, ainda não há consenso sobre a existência de associação entre dismotilidade e Hérnia Hiatal (HH) em pacientes com DRGE. Esse estudo tem como objetivo estabelecer a prevalência de Dismotilidade Esofágica (DE) em pacientes com HH e avaliar se a herniação é fator relacionado à DE. Métodos: Foram estudados 356 pacientes com diagnóstico clínico de DRGE submetidos à Endoscopia Digestiva Alta e Manometria Esofágica. Hérnia Hiatal foi definida endoscopicamente por uma distância igual ou maior que 2 cm entre o pinçamento diafragmático e a junção escamo-colunar e Dismotilidade Esofágica quando a ME identificou amplitude das ondas peristálticas no esôfago distal < 30 mmHg e/ou menos de 80% de contrações efetivas. Foi feita a divisão dos pacientes para a análise estatística em 2 grupos, com e sem HH. Resultados: Pacientes com DRGE portadores de HH tiveram prevalência de DE igual a 14,8% e os sem HH, prevalência de 7,7% (p = 0,041). O grupo de pacientes com HH apresentou também maior frequência de esofagite erosiva (47,5% contra 24,2%, p <0,001), menor valor de pressão no EEI (10,4 versus 13,10; p < 0,001) e maior frequência de indivíduos com valores de pH-metria anormais (p < 0,001). A razão bruta de prevalências de DE, segundo a presença de HH, foi 1,92 (IC: 1,04 - 3,53; p = 0,037), porém essa associação não persistiu quando controlada por idade, esofagite, pH-metria alterada e EEI alterado (RP ajustada: 1,69; IC: 0,68 – 4,15; p = 0,257). Conclusão: Apesar da prevalência de DE no grupo HH ter sido maior do que no grupo sem HH, a associação entre HH e DE em indivíduos com DRGE desaparece ao se controlar por co-variáveis relevantes, levando a crer que neste tipo de paciente, HH não é fator de risco independente destas variáveis.
Introduction: The pathophysiology of gastroesophageal reflux disease is multifactorial, where esophageal motility is one of the factors implicated in its genesis. However, there is still no consensus on the existence of an association between esophageal dysmotility and hiatal hernia in patients with gastroesophageal reflux disease. The objective of this study was to establish the prevalence of esophageal dysmotility in patients with hiatal herina and to determine if herniation is a factor related to esophageal dysmotility. Methods: The study included 356 patients with a clinical diagnosis of gastroesophageal reflux disease submitted to upper digestive endoscopy and esophageal functional dagnostics. Hiatal Hernia was defined endoscopically by a distance equal to or greater than 2 cm between the diaphragmatic constriction and the squamo-columnar junction and esophageal dysmoyility when the esophageal manometry identified the amplitude of the peristaltic waves in the distal esophagus are < 30 mmHg and/or less than 80% of effective contractions. For statistical analysis, the patients were divided into 2 grups: with and without HH. Results: Gastroesophageal reflux disease patients with hiatal hernia had a prevalence of esophageal dysmotility equal to 14.8% and those without hiatal hernia, a prevalence of 7.7% (p = 0.041). The group of patients with hiatal hernia also showed a greater frequency of erosive esophagitis (47.5% versus 24.2%, p <0.001), lower low esophageal sphincter pressure (10.4 versus 13.10; p < 0.001) and greater frequency of individuals with abnormal pH-metry values (p < 0.001). The crude prevalence ratios for esophageal dysmotility, according to the presence of hiatal hernia, was 1.92 (CI: 1.04 - 3.53; p = 0.037), but this association did not persist when controlled for age, esophagitis, altered pH-metry and altered low esophageal sphincter (adjusted PR: 1.69; CI: 0.68 – 4.15; p = 0.257). Conclusion: Despite the prevalence of esophageal dysmotility in the hiatal hernia group being higher than that in the group without hiatal hernia, the association between hiatal hernia and esophageal dysmotility in individuals with gastroesophageal reflux disease disappeared on controlling for relevant co-variables, leading us to believe that in this type of patient, hiatal hernia is not a risk factor independent of these variables.

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KARAM, RAJA. "Perforation en peritoine libre d'un ulcere du collet d'une hernie hiatale : a propos d'une observation." Angers, 1988. http://www.theses.fr/1988ANGE1032.

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CORSINI, MIREILLE. "Reintervention pour recidive de reflux gastro-oesophagien : a propos de 21 cas." Besançon, 1991. http://www.theses.fr/1991BESA3012.

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Books on the topic "Hiatal hernia"

Hiatal hernia syndrome: Insidious link to major illness : guide to self-healing. Waynesville, NC: Eclectic Press, 1996.

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Memon, Muhammed Ashraf, ed. Hiatal Hernia Surgery. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-64003-7.

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Parker, James N., and Philip M. Parker. The official patient's sourcebook on hiatal hernia. Edited by Icon Group International Inc and NetLibrary Inc. San Diego, Calif: Icon Health Publications, 2002.

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Coping successfully with your hiatus hernia. London: Sheldon, 2011.

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Pringle, Robert. A colour atlas of transthoracic repair of hiatus hernia. London: Wolfe Medical Publications, 1987.

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Parker, James N., and Philip M. Parker. Hiatal hernia: A medical dictionary, bibliography, and annotated research guide to Internet references. San Diego, CA: ICON Health Publications, 2004.

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Ruben, Montague. Diagnostic picture tests in ophthalmology. [London]: Wolfe Medical Publications, 1987.

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Parker, James N., and Philip M. Parker. Hiatus hernia: A medical dictionary, bibliography, and annotated research guide to Internet references. San Diego, CA: ICON Health Publications, 2004.

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T, Niemann James, and Criley J. Michael, eds. Cardiology for the house officer. 2nd ed. Baltimore: Williams & Wilkins, 1987.

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Potterton, David. Hiatus hernia. London: Foulsham, 1993.

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Book chapters on the topic "Hiatal hernia"

Zanoni, Andrea, Alberto Sartori, and Enrico Lauro. "Hiatal Hernia: Update and Technical Aspects." In Mastering Endo-Laparoscopic and Thoracoscopic Surgery, 229–35. Singapore: Springer Nature Singapore, 2022. http://dx.doi.org/10.1007/978-981-19-3755-2_35.

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AbstractHiatal hernia is defined as the herniation of the stomach, possibly with other abdominal cavity elements, through the esophageal hiatus of the diaphragm. The most used classification describes four types of hernia: type I is the sliding hiatus hernia; type II the rolling hernia, where the gastric fundus herniate, while the gastroesophageal junction remains in the abdomen; type III the mixed hernia: with elements of both types I and II hernias; type IV is characterized by the presence of organs other than the stomach in the hernia sac. Types II–IV hernias as a group are referred to as paraesophageal hernias. Type I is the most common (95% of the cases), followed by type III, which comprises almost all paraesophageal hernias. Type II and IV are rare. Gastric volvulus is commonly associated with paraesophageal hiatal hernias. During sac reduction, the content is also retracted into the abdomen and the volvulus is automatically derotated. Natural history of hiatal hernias is not really known, but preliminary studies suggest that, like all other types of hernia, they tend to increase in size over time. The anatomic disruption of the gastroesophageal junction, due to hiatal hernia, leads to the disruption of natural anti-reflux mechanisms and hernia size is one of the main determinant of reflux severity [3]. Indeed, symptoms of hiatal hernia can be distinguished into GERD-related and Non-GERD-related. GERD symptoms are described in another chapter. Non-GERD symptoms include all those related to compression of mediastinal structures and to damage of herniated organs. A particular case is that of asymptomatic paraesophageal hernias. In those patients, prophylactic paraesophageal hernia repair is debated among experts. Although there is no consensus, most would agree that very old or debilitated patients should not undergo surgery, while younger and healthier patients, with a life expectancy of at least 10 years, should consider surgery to prevent both the risk of acute complications and potentially progressive symptoms.

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Lam, Wanda, Ruel Neupane, and Jeffrey M. Marks. "Hiatal Hernia." In Clinical Algorithms in General Surgery, 133–34. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-98497-1_35.

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Bright, Ronald. "Hiatal Hernia." In Small Animal Soft Tissue Surgery, 321–28. Chichester, UK: John Wiley & Sons, Ltd, 2014. http://dx.doi.org/10.1002/9781118997505.ch35.

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Rees, Christopher J., Charles V. Pollack, and Victoria G. Riese. "Hiatal Hernia." In Differential Diagnosis of Cardiopulmonary Disease, 515–24. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-63895-9_35.

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Roman, Sabine, and Peter J. Kahrilas. "Hiatal Hernia." In Principles of Deglutition, 753–68. New York, NY: Springer New York, 2012. http://dx.doi.org/10.1007/978-1-4614-3794-9_51.

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Nurczyk, Kamil, Marco Di Corpo, and Marco G. Patti. "Hiatal Hernia." In Benign Esophageal Disease, 59–69. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-51489-1_7.

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Dimou, Francesca M., Candace Gonzalez, and Vic Velanovich. "Utility of Endoscopy in the Diagnosis of Hiatus Hernia and Correlation with GERD." In Hiatal Hernia Surgery, 1–16. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-64003-7_1.

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Wong, Vivien, Barry McMahon, and Hans Gregersen. "Lower Esophageal Sphincter Efficacy Following Laparoscopic Antireflux Surgery with Hiatal Repair: Role of Fluoroscopy, High-Resolution Impedance Manometry and FLIP in Detecting Recurrence of GERD and Hiatal Hernia." In Hiatal Hernia Surgery, 153–68. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-64003-7_10.

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Andolfi, Ciro, and Marco P. Fisichella. "Adverse Outcome and Failure Following Laparoscopic Anti-reflux Surgery for Hiatal Hernia: Is One Fundoplication Better than Other?" In Hiatal Hernia Surgery, 169–77. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-64003-7_11.

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Pandolfino, John, and Dustin Carlson. "Post-operative HRIM and FLIP for Dysphagia Following Antireflux Procedures." In Hiatal Hernia Surgery, 179–96. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-64003-7_12.

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Conference papers on the topic "Hiatal hernia"

Gulec Balbay, Ege, Elif Nisa Ünlü, Ali Nihat Annakkaya, Öner Balbay, Mehmet Kös, and Alp Alper Safak. "Does hiatal hernia cause bronchiectasis?" In ERS International Congress 2016 abstracts. European Respiratory Society, 2016. http://dx.doi.org/10.1183/13993003.congress-2016.pa756.

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George, P. M., T. Hida, R. K. Putman, S. R. Desai, A. Devaraj, S. Kumar, J. A. Mackintosh, et al. "Hiatal Hernia and Interstitial Lung Abnormalities." In American Thoracic Society 2020 International Conference, May 15-20, 2020 - Philadelphia, PA. American Thoracic Society, 2020. http://dx.doi.org/10.1164/ajrccm-conference.2020.201.1_meetingabstracts.a7790.

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Patel, J., R. Patel, and R. Kudia. "Remarkable Compensation of a Large Hiatal Hernia." In American Thoracic Society 2019 International Conference, May 17-22, 2019 - Dallas, TX. American Thoracic Society, 2019. http://dx.doi.org/10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a5523.

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Niclauss, N., MK Jung, V. Belfontali, A. Vogel, ME Hagen, SP Mönig, and P. Morel. "Robotic hiatal hernia repair: A single-institution experience." In Viszeralmedizin 2017. Georg Thieme Verlag KG, 2017. http://dx.doi.org/10.1055/s-0037-1605311.

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Truba, O., J. Żuchowska, M. Dąbrowska, E. M. Grabczak, K. Białek-Gosk, A. Rybka-Frączek, and R. Krenke. "Does hiatal hernia impact GER-related chronic cough?" In ERS International Congress 2022 abstracts. European Respiratory Society, 2022. http://dx.doi.org/10.1183/13993003.congress-2022.3188.

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Lee, JS, BM Elicker, MP Sweet, JA Golden, TE King, Jr, and HR Collard. "Hiatal Hernia Predicts Survival in Patients with Idiopathic Pulmonary Fibrosis." In American Thoracic Society 2009 International Conference, May 15-20, 2009 • San Diego, California. American Thoracic Society, 2009. http://dx.doi.org/10.1164/ajrccm-conference.2009.179.1_meetingabstracts.a1119.

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Fakhra, S., A. Iardino, W. Chan, J. Minor, A. Desoasido, and A. Singh. "The Curious Hiatal Hernia Which Was Actually Streptococcus Constellatus Empyema." In American Thoracic Society 2021 International Conference, May 14-19, 2021 - San Diego, CA. American Thoracic Society, 2021. http://dx.doi.org/10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a2945.

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Morton, C., S. Kalra, and H. Knight. "Coughing Out a Lung: A Case of Hiatal and Intercostal Hernia." In American Thoracic Society 2019 International Conference, May 17-22, 2019 - Dallas, TX. American Thoracic Society, 2019. http://dx.doi.org/10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a6378.

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Mondragón, OVH, RA Gutierrez Aguilar, LF Garcia Contreras, OMS Pineda, G. Blanco Velasco, and E. Murcio Perez. "SAFETY AND EFFICACY OF ANTIREFLUX ABLATION THERAPY (ARAT) AT THE ESOPHAGOGASTRIC JUNCTION (EGJ) IN PATIENTS WITH GASTROESOPHAGEAL REFLUX DISEASE (GERD) WITHOUT HIATAL HERNIA." In ESGE Days. © Georg Thieme Verlag KG, 2020. http://dx.doi.org/10.1055/s-0040-1704361.

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Sutanto, Alfiani Vivi, and Hanung Prasetya. "Obesity and Gastroesophageal Reflux Disease: A Meta-Analysis Study in Asia and America." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.05.50.

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ABSTRACT Background: Gastroesophageal reflux disease (GERD) is a common disorder with a prevalence of 20% in the United States and less than 5% in Asia. Untreated, GERD can result in a symptomatic burden to the patient, poor health-related quality of life, complications, such as esophageal stricture, Barrett’s esophagus, and esophageal adenocarcinoma, and a high direct and indirect cost to the healthcare system. Various pathophysiological mechanisms have been identified to explain the relationship between obesity and GERD, including a high prevalence of hiatal hernia and increased gastroesophageal pressure gradient. This study aimed to examine the association between obesity and GERD in Asia and America. Subjects and Method: This was meta-analysis and systematic review. The study was conducted by collecting articles from PubMed, Google Scholar, BMC Journals, Science Direct, Mendeley, and clinical key databases. Keywords used “Obesity” OR “HMI” AND “Gastroesophageal reflux disease” OR “GERD” AND “Effect obesity for GERD” AND “aOR”. The inclusion criteria were full text, using cross-sectional study design, and reporting adjusted odds ratio. The study population was adults who experienced GERD. Intervention was obesity. The study outcome was gastroesophageal reflux disease (GERD). The articles were selected using PRISMA flow chart. The quantitative data were analyzed using random effect model run on Revman 5.3. Results: 5 studies were analyzed and reviewed for this study. Current study reported that obesity increased the risk of gastroesophageal reflux disease (GERD) (aOR= 2.04; 95% CI=1.42 to 2.92; p= 0.001). Conclusion: Obesity increases the risk of gastroesophageal reflux disease. Keywords: obesity, gastroesophageal reflux disease Correspondence: Alfiani Vivi Sutanto. Masters Program in Public Health. Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: alfianivivi85@gmail.com. Mobile: 085799253568. DOI: https://doi.org/10.26911/the7thicph.05.50

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Reports on the topic "Hiatal hernia"

Lyons, Nicole, Ali Siddiqui, Oluwatunmininu Anwoju, Brianna Cohen, Walter Ramsey, Christopher O'Neil, Zuhair Ali, and Mike Liang. Biologic versus Synthetic Mesh for Ventral Hernia Repair: a protocol for systematic review and meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, October 2022. http://dx.doi.org/10.37766/inplasy2022.10.0016.

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Review question / Objective: To compare the clinical outcomes of utilizing biologic mesh versus synthetic mesh during ventral hernia repair (VHR). Eligibility criteria: Inclusion criteria were randomized controlled trials comparing biologic and synthetic mesh in ventral hernia repair. Studies were included if they were focused on adults (over age 18), human subjects, and were published in the English language. Studies were limited to only VHR and needed to compare biologic with synthetic mesh. Repair could be done open, laparoscopically, or robotically. Exclusion criteria included: (1) articles that only included synthetic or biologic mesh (ex. comparing two types of biologic mesh) or (2) procedures for other types of hernias, for example inguinal or hiatal.

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