A Case of 100-year-old Woman Successfully Treated for Upside Down Stomach with Laparoscopic Surgery

幹人, 森; 泰典, 阿久津; 秀樹, 林; 洋, 川平; 潔彦, 首藤; 直行, 羽成; 憲政, 池田; 智仁, 貞廣; 成人, 織田; 久裕, 松原

doi:10.5833/jjgs.44.1389

Cited by 3 publications

(2 citation statements)

References 11 publications

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“…There have also been a small number of such cases in Western countries [9][10][11] , and the incidence of upside down stomach is reported to be 6.2% of all esophageal hiatus hernia cases 2) . A total of only 58 cases, including the present one, of upside down stomach has also been reported in Japan 3,12,13) . Of these cases, elderly patients are more frequent with a mean age of 72.8 years ; however, the number of those aged 85 years and over was very small, only 7, including our patient.…”

Section: Discussionmentioning

confidence: 68%

“…Mild sliding esophageal hiatus hernia is frequently encountered while so-called "upside down stomach", or volvulus of the stomach prolapsing into the mediastinum, is rare [1][2][3][4][5][6][7][8] . We encountered a patient of adReceived: June 19, 2013/Accepted: July 10, 2013 Correspondence to: Takeshi Shimakawa Department of Surgery, Tokyo Womenʼs Medical University Medical Center East, 2-1-10 Nishiogu Arakawa-ku, Tokyo 116-8567, Japan vanced age who developed a large esophageal hiatus hernia with an upside down stomach, which was surgically treated.…”

Section: Introductionmentioning

confidence: 99%

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A Surgical Case of a Large Esophageal Hiatus Hernia with an Upside Down Stomach in a Patient of Advanced Age

Shimakawa

Asaka

Usuda

et al. 2013

JJCS

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Cases of so-called "upside down stomach", or volvulus of the stomach prolapsing into the mediastinum, are rare. We encountered a patient of advanced age who developed a large esophageal hiatus hernia with an upside down stomach, which was surgically treated. An 89-year-old female patient had repeated vomiting and hematemesis requiring emergency hospital admission. Upper gastrointestinal contrast study revealed severe esophageal hiatus hernia and gastric volvulus resulting in the stomach turning upside down. Computed tomography showed prolapse of the large portion of the stomach into the mediastinum. Because the patient had undergone epigastric laparotomy, surgery was initiated with opening the upper abdomen followed by returning the stomach into the peritoneal cavity. The hiatus hernia was sutured, and floppy Nissen fundoplication was performed as well as stomach fixation under the diaphragm. The patientʼs food intake was favorable postoperatively, and she was discharged.

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Section: Discussionmentioning

confidence: 68%

Section: Introductionmentioning

confidence: 99%

A Surgical Case of a Large Esophageal Hiatus Hernia with an Upside Down Stomach in a Patient of Advanced Age

Shimakawa

Asaka

Usuda

et al. 2013

JJCS

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Paraesophageal Hiatal Hernia with Upside-Down Stomach Treated by Laparoscopic Surgery

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寿明

吾

et al. 2017

The Journal of the Japan Broncho-esophagological Society

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Surgical Interventions in Cases of Esophageal Hiatal Hernias among Older Japanese Adults: A Systematic Review

et al. 2022

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Background and Objectives: Given Japan’s superaging population, an increasing number of older adults in the country need surgical treatment for esophageal hiatal hernias. Accordingly, this systematic review examines surgical interventions for symptomatic esophageal hiatal hernias in older Japanese patients and explores treatment outcomes. Materials and Methods: Articles on single operations for hiatal hernias published after 1991 were found on Google Scholar and Ichushi using specific keywords. Subsequently, articles fulfilling the predetermined inclusion criteria were considered in the study. Results: The mean patient age was 81.4 years, and the male-to-female ratio was 1:11.5. The main reasons for surgery were vomiting, dyspnea, and chest tightness. In terms of hernia classification, type IV was the most common (48%). Surgical modalities were laparoscopy in 15 cases, and laparotomy in 10 cases. Mean postoperative course was 26.47 days until hospital discharge, and there were no cases of perioperative death. Conclusions: Findings showed that multiple factors were involved in older adults’ prognoses, and age was not the only biological factor. Therefore, aggressive surgical intervention should be considered for symptomatic older patients, even in the absence of surgery indicators.

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A Case of 100-year-old Woman Successfully Treated for Upside Down Stomach with Laparoscopic Surgery

Cited by 3 publications

References 11 publications

A Surgical Case of a Large Esophageal Hiatus Hernia with an Upside Down Stomach in a Patient of Advanced Age

A Surgical Case of a Large Esophageal Hiatus Hernia with an Upside Down Stomach in a Patient of Advanced Age

Paraesophageal Hiatal Hernia with Upside-Down Stomach Treated by Laparoscopic Surgery

Surgical Interventions in Cases of Esophageal Hiatal Hernias among Older Japanese Adults: A Systematic Review

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