Experience with laparoscopic treatment for paraesophageal hiatal hernia

Tagaya, Nobumi; Makino, Nana; Saito, Kazuyuki; Okuyama, Takashi; Kouketsu, S.; Sugamata, Yoshitake; Oya, Mototsugu

doi:10.1111/ases.12049

Cited by 1 publication

(1 citation statement)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Recently, LNF has become a standard surgical treatment for PEH (5). Nguyen et al retrospectively compared 2069 laparoscopic repair procedures and 657 open repair procedures for PEH (6), and found that the laparoscopic approach was associated with a shorter hospital stay, less need for intensive care unit placement, fewer overall complications and 30-day readmissions, and lower costs.…”

Section: Discussionmentioning

confidence: 99%

Simultaneous laparoscopic Nissen fundoplication and percutaneous endoscopic gastrostomy to treat an elderly patient with a large paraesophageal hernia: A case report

Mimatsu

Oida

Kida

et al. 2014

Asian J Endoscop Surgery

View full text Add to dashboard Cite

Laparoscopic Nissen fundoplication (LNF) and gastrostomy are often performed in children with gastroesophageal reflux disease. With a population that is increasingly aging, the number of elderly patients with paraesophageal hernia who have a nutritional disorder due to dysphagia has increased. In these patients with feeding difficulties, LNF and percutaneous endoscopic gastrostomy (PEG) are effective procedures for providing nutritional support. Here, we describe the case of an 82-year-old woman with paraesophageal hernia and certain comorbidities. She was receiving enteral feeding through a nasogastric tube, which was discontinued because aspiration pneumonia occurred. Therefore, LNF and crural repair without mesh placement were performed. The PEG tube was placed using the Ponsky pull technique under direct visualization with a laparoscope and gastroscope. The patient's nutritional status improved after she received enteral nutrition through the PEG tube. Thus, LNF and PEG may be useful techniques for nutritional support in elderly patients with a large paraesophageal hernia.

show abstract

Section: Discussionmentioning

confidence: 99%