Surgical Interventions in Cases of Esophageal Hiatal Hernias among Older Japanese Adults: A Systematic Review
<i>Background and Objectives</i>: 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...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2022-02-01
|
| Series: | Medicina |
| Subjects: | |
| Online Access: | https://www.mdpi.com/1648-9144/58/2/279 |
| _version_ | 1827654055492583424 |
|---|---|
| author | Yuta Horinishi Kai Shimizu Chiaki Sano Ryuichi Ohta |
| author_facet | Yuta Horinishi Kai Shimizu Chiaki Sano Ryuichi Ohta |
| author_sort | Yuta Horinishi |
| collection | DOAJ |
| description | <i>Background and Objectives</i>: 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. <i>Materials and Methods</i>: 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. <i>Results</i>: 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. <i>Conclusions</i>: 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. |
| first_indexed | 2024-03-09T21:29:09Z |
| format | Article |
| id | doaj.art-0ced05eecd604efb9d327d3e7905e174 |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-09T21:29:09Z |
| publishDate | 2022-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-0ced05eecd604efb9d327d3e7905e1742023-11-23T21:00:52ZengMDPI AGMedicina1010-660X1648-91442022-02-0158227910.3390/medicina58020279Surgical Interventions in Cases of Esophageal Hiatal Hernias among Older Japanese Adults: A Systematic ReviewYuta Horinishi0Kai Shimizu1Chiaki Sano2Ryuichi Ohta3Matsue Seikyo General Hospital, 8-8-8 Nishituda, Matsue 690-8522, Shimane, JapanHuchu Hospital, 1-10-17, Huchu-Town, Izumi 594-0076, Osaka, JapanDepartment of Community Medicine Management, Faculty of Medicine, Shimane University, Izumo 693-8501, Shimane, JapanCommunity Care, Unnan City Hospital, 96-1 Iida, Daito-cho, Unnan 699-1221, Shimane, Japan<i>Background and Objectives</i>: 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. <i>Materials and Methods</i>: 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. <i>Results</i>: 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. <i>Conclusions</i>: 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.https://www.mdpi.com/1648-9144/58/2/279esophageal hiatal herniasurgeryJapanolder adultsageism |
| spellingShingle | Yuta Horinishi Kai Shimizu Chiaki Sano Ryuichi Ohta Surgical Interventions in Cases of Esophageal Hiatal Hernias among Older Japanese Adults: A Systematic Review Medicina esophageal hiatal hernia surgery Japan older adults ageism |
| title | Surgical Interventions in Cases of Esophageal Hiatal Hernias among Older Japanese Adults: A Systematic Review |
| title_full | Surgical Interventions in Cases of Esophageal Hiatal Hernias among Older Japanese Adults: A Systematic Review |
| title_fullStr | Surgical Interventions in Cases of Esophageal Hiatal Hernias among Older Japanese Adults: A Systematic Review |
| title_full_unstemmed | Surgical Interventions in Cases of Esophageal Hiatal Hernias among Older Japanese Adults: A Systematic Review |
| title_short | Surgical Interventions in Cases of Esophageal Hiatal Hernias among Older Japanese Adults: A Systematic Review |
| title_sort | surgical interventions in cases of esophageal hiatal hernias among older japanese adults a systematic review |
| topic | esophageal hiatal hernia surgery Japan older adults ageism |
| url | https://www.mdpi.com/1648-9144/58/2/279 |
| work_keys_str_mv | AT yutahorinishi surgicalinterventionsincasesofesophagealhiatalherniasamongolderjapaneseadultsasystematicreview AT kaishimizu surgicalinterventionsincasesofesophagealhiatalherniasamongolderjapaneseadultsasystematicreview AT chiakisano surgicalinterventionsincasesofesophagealhiatalherniasamongolderjapaneseadultsasystematicreview AT ryuichiohta surgicalinterventionsincasesofesophagealhiatalherniasamongolderjapaneseadultsasystematicreview |