Paraesophageal Hernias with Perforation.

Autor:	Lackey AH; Thoracic Surgery, Robert Wood Johnson Barnabas Health, 101 Old Short Hills Road, Suite 302, West Orange, NJ 07052, USA; Thoracic Surgery, Cooperman Barnabas Medical Center, Robert Wood Johnson Barnabas Health, Livingston, NJ, USA., Sesti J; Thoracic Surgery, Cooperman Barnabas Medical Center, Robert Wood Johnson Barnabas Health, Livingston, NJ, USA. Electronic address: Joanna.sesti@rwjbh.org.
Jazyk:	angličtina
Zdroj:	Thoracic surgery clinics [Thorac Surg Clin] 2024 Nov; Vol. 34 (4), pp. 371-376. Date of Electronic Publication: 2024 Aug 13.
DOI:	10.1016/j.thorsurg.2024.06.003
Abstrakt:	Acute gastric volvulus presents with the classic triad of severe epigastric pain, vomiting, and difficulty or inability to pass a nasogastric tube. It can be complicated by strangulation and perforation which are associated with high mortality rates. Quick diagnosis and attempt at decompression is paramount. Computer-aided tomography is an important diagnostic step, and findings such as gastric wall thickening, extraluminal gas, and mediastinal fluid should prompt urgent surgical intervention. Approaches can include minimally invasive or open operations and in general should include reduction of the hernia, resection of devitalized tissue, and in some cases esophageal exclusion with delayed reconstruction. Competing Interests: Disclosure The authors have no disclosures. This works was not supported by any funding or grants. (Copyright © 2024 Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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