| Autor: |
R S, Cathcart, H B, Gregorie, S L, Holmes |
| Rok vydání: |
1987 |
| Předmět: |
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| Zdroj: |
The American surgeon. 53(6) |
| ISSN: |
0003-1348 |
| Popis: |
Patients with massive incarcerated hiatal hernia and no appreciable esophagitis present with a distinctly different clinical picture from those with hiatal hernia and reflux peptic esophagitis. In a recent review, 17 patients were encountered with this problem. The patients were often elderly and presented with the following grave complications: upper gastrointestinal obstruction; upper gastrointestinal bleeding, both acute and chronic, from gastric ulcerations; and perforated gastric ulcerations. In these patients, the surgical approach is better accomplished through the abdominal route. These patients should be distinguished from those with a shortened esophagus resulting from chronic reflux peptic esophagitis who often require thoracotomy for surgical correction. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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