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A rare pediatric case of type III congenital paraesophageal hiatal hernia with infantile hypertrophic pyloric stenosis: A case report.
Int J Surg Case Rep
January 2025
Department of Public Health and Infectious Diseases, Faculty of Medicine, Herat University, Herat, Afghanistan; Department of Epidemiology and Biostatistics, Schulich School of Medicine & Dentistry, Western University, London, ON, Canada.
Introduction: This case report presents a rare occurrence of Type III Congenital Paraesophageal Hiatal Hernia (CPEHH) with Infantile Hypertrophic Pyloric Stenosis (IHPS) in a 28-day-old neonate. However, this unusual combination poses significant diagnostic and surgical challenges.
Presentation Of Case: A 28-day-old male presented with respiratory distress and persistent vomiting.
Mitigating Aspiration Risk With Awake Intubation: A Case of Intrathoracic Stomach.
Cureus
November 2024
Anesthesiology, Unidade Local de Saúde de Coimbra, Coimbra, PRT.
Hiatal hernias are common in the elderly and in most cases asymptomatic and no intervention is needed. Hiatal hernias can range from asymptomatic to an intrathoracic stomach, a rare but potentially life-threatening condition, characterized by the migration of the stomach into the thoracic cavity. Its need for urgent intervention presents a major concern for the anesthesiologist because it is associated with a high risk of aspiration.
View Article and Find Full Text PDF[Laparoscopic Hiatal Hernia Repair].
Kyobu Geka
September 2024
Department of Upper Gastrointestinal Surgery, Dokkyo Medical University, Tochigi, Japan.
Esophageal hiatal hernia is a condition in which the esophageal hiatus opens and the stomach escapes from the abdominal cavity into the mediastinum. The basic surgical procedures are 1) return of the prolapsed stomach into the abdominal cavity, 2) suture of the dilated esophageal hiatus, and 3) fundoplication and fixation of the stomach to prevent gastroesophageal reflux disease (GERD). The Japanese guidelines for the treatment of GERD recommend laparoscopic Toupet fundoplication as the standard procedure, which we also follow.
View Article and Find Full Text PDF[Thoracoabdominal Trauma Caused by Blast and Gunshot Injuries].
Anasthesiol Intensivmed Notfallmed Schmerzther
November 2024
In Germany, blast and gunshot injuries are uncommon but complex injury entities. Due to the global political situation, terrorist attacks, accidents, or acts of violence, these injuries are potentially part of the reality of care for every anaesthetist, surgeon, and emergency physician. In principle, this type of injury should be treated in a trauma centre with appropriate expertise, but the knowledge of basic treatment principles is necessary for all practitioners.
View Article and Find Full Text PDFAnalysis of emergent reoperations after bariatric surgery: an important metric for safe same-day surgery.
Surg Obes Relat Dis
October 2024
Department of Surgery, Henry Ford Health, Detroit, Michigan.
Article Synopsis
- Early reoperation rates after sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) are low, but approximately 32% of reoperations after SG and 24% after RYGB happen within 24 hours due to complications like hemorrhage.
- Factors such as older age, hypertension, and liver disease increase the risk of early reoperation, particularly in SG patients, and longer surgery times are a common factor for both procedures.
- The findings suggest that patients with significant comorbidities should be carefully evaluated as candidates for same-day surgery due to the heightened risks associated with potential early complications.
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