Hiatal hernia following total gastrectomy with Roux-en-Y reconstruction View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2014-12

AUTHORS

S. Murata, M. Yamazaki, C. Kosugi, A. Hirano, Y. Yoshimura, R. Shiragami, M. Suzuki, K. Shuto, K. Koda

ABSTRACT

Hiatal hernias after total gastrectomy for advanced gastric cancer are very rare. We review a case of a 44-year-old male who presented with dyspnea and chest pain 2 days after total gastrectomy, lower esophagectomy, and splenectomy with retrocolic Roux-en-Y reconstruction approached by a left thoracoabdominal incision for gastric cancer at the cardia. Plain and cross-sectional imaging identified a large hiatal hernia protruding into the right thorax containing left-sided transverse colon and small intestine. Our patient underwent a laparotomy, and after hernia reduction the hiatal defect was repaired by direct suturing. He experienced anastomotic leakage and right pyothorax, but recovered. The potential cause is discussed here and the published literature on this rare complication is reviewed briefly. More... »

PAGES

889-891

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10029-013-1142-3

DOI

http://dx.doi.org/10.1007/s10029-013-1142-3

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1013043576

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/23918277


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