In:
Surgical Practice, Wiley, Vol. 18, No. 2 ( 2014-05), p. 87-89
Abstract:
Paraoesophageal hernia warrants surgical repair when it becomes symptomatic. Complex definitive surgical repair carries a high risk of complication and morbidity. Patients and Methods We present a case of paraoesophageal hernia in an elderly woman managed by minimally‐invasive method with laparoscopic‐assisted endoscopic reduction and gastropexy. Results The operation was done under general anaesthesia. The intrathoracic oesophagus and stomach were reduced with laparoscopic assistance, and the adhesion with the hernia sac was removed. Gastropexy was performed with two percutaneous endoscopic gastrostomies (PEG), and a feeding jejunostomy was placed via one of the PEG. The patient was initially started on jejunosotmy feeding, and oral feeding was gradually resumed. She was then discharged on postoperative day 20. Conclusion In patients who are considered high risk for definitive surgical repair or invasive procedure involving hiatal dissection, endoscopic reduction and fixation with laparoscopic assistance are an acceptable alternative.
Type of Medium:
Online Resource
ISSN:
1744-1625
,
1744-1633
DOI:
10.1111/ash.2014.18.issue-2
DOI:
10.1111/1744-1633.12057
Language:
English
Publisher:
Wiley
Publication Date:
2014
detail.hit.zdb_id:
2180033-9
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