Strangulated Bowel Obstruction Due to Hiatal Hernia After Laparoscopic Total Gastrectomy

Laparoscopic total gastrectomy results in more internal hernias than open surgery. However, there are few reports of incarcerated hiatal hernia after laparoscopic total gastrectomy. Here, we report a case of a 79-year-old male who underwent urgent surgical intervention for a strangulated intestinal...

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Bibliographic Details
Published inCurēus (Palo Alto, CA) Vol. 16; no. 4; p. e58610
Main Authors Kakinuma, Hirohito, Honda, Michitaka, Funo, Takumi, Mashiko, Ryutaro, Takano, Yoshinao
Format Journal Article
LanguageEnglish
Published United States Cureus Inc 19.04.2024
Subjects
Abdomen
Cancer surgery
Case reports
Colon
Defects
Dyspnea
Emergency medical care
Esophagus
Gastric cancer
Gastrointestinal surgery
Hiatal hernias
Intestinal obstruction
Ischemia
Laparoscopy
Metastasis
Pain
Patients
Risk factors
Small intestine
Vomiting
internal hernia
strangulated bowel obstruction
esophageal hiatal hernia
laparoscopic total gastrectomy
roux-en-y reconstruction
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Summary:Laparoscopic total gastrectomy results in more internal hernias than open surgery. However, there are few reports of incarcerated hiatal hernia after laparoscopic total gastrectomy. Here, we report a case of a 79-year-old male who underwent urgent surgical intervention for a strangulated intestinal obstruction due to an incarcerated hernia through the esophageal hiatus following laparoscopic total gastrectomy. In this case, an esophageal hiatal hernia was present before gastrectomy, but was not repaired. Additionally, the patient experienced significant weight loss after gastrectomy. Preoperative hiatal hernia and marked postoperative weight loss may pose risks.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.58610