Laparoscopic hiatal hernia repair for treating patients with massive hiatal hernia and iron-deficiency anaemia
Abstract Background Massive hiatal hernias may result in extraoesophageal symptoms, including iron-deficiency anaemia. However, the role played by hiatal hernias in iron-deficiency anaemia is not clearly understood. We examined the prevalence of anaemia in patients with massive hiatal hernias and th...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-09-01
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| Series: | BMC Surgery |
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| Online Access: | https://doi.org/10.1186/s12893-023-02184-3 |
| _version_ | 1827635776180977664 |
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| author | Aikebaier Aili Maimaitiaili Maimaitiming Yiliang Li Alimujiang Maisiyiti Zhi Wang Yusujiang Tusuntuoheti Kelimu Abudureyimu |
| author_facet | Aikebaier Aili Maimaitiaili Maimaitiming Yiliang Li Alimujiang Maisiyiti Zhi Wang Yusujiang Tusuntuoheti Kelimu Abudureyimu |
| author_sort | Aikebaier Aili |
| collection | DOAJ |
| description | Abstract Background Massive hiatal hernias may result in extraoesophageal symptoms, including iron-deficiency anaemia. However, the role played by hiatal hernias in iron-deficiency anaemia is not clearly understood. We examined the prevalence of anaemia in patients with massive hiatal hernias and the frequency of anaemia resolution after laparoscopic hiatal hernia repair at long term follow-up. Methods Patients who underwent laparoscopic hiatal hernia repair from June 2008 to June 2019 were enrolled in this study. We collected the patients’ demographic and clinical data from their medical records, and compared the pre-surgical and post-surgical findings (at 1 week and 3 months post-surgery). All patients with adequate documentation underwent post-surgical follow-up to evaluate improvements in clinical symptoms and signs. Results A total of 126 patients with massive hiatal hernias underwent laparoscopic hiatal hernia repair. Of these, 35 (27.8%) had iron-deficiency anaemia. Anaemia was resolution in all the patients and they had significantly reduced GERD-Q scores at 3 months postoperatively (P<0.01) .The mean follow-up period was 60 months. Iron-deficiency anaemia resolution after hiatal hernia repair was achieved in 93.9% of the patients. Conclusion Anaemia is common in patients with massive hiatal hernias, and most of our patients were symptomatic because of their anaemia. Moreover, in patients with massive hiatal hernias, iron-deficiency anaemia resolution is likely after laparoscopic hiatal hernia repair. |
| first_indexed | 2024-03-09T15:32:13Z |
| format | Article |
| id | doaj.art-7b11370dad4644979b1a4dd68969d70a |
| institution | Directory Open Access Journal |
| issn | 1471-2482 |
| language | English |
| last_indexed | 2024-03-09T15:32:13Z |
| publishDate | 2023-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj.art-7b11370dad4644979b1a4dd68969d70a2023-11-26T12:11:47ZengBMCBMC Surgery1471-24822023-09-012311610.1186/s12893-023-02184-3Laparoscopic hiatal hernia repair for treating patients with massive hiatal hernia and iron-deficiency anaemiaAikebaier Aili0Maimaitiaili Maimaitiming1Yiliang Li2Alimujiang Maisiyiti3Zhi Wang4Yusujiang Tusuntuoheti5Kelimu Abudureyimu6Department of Minimally Invasive Surgery, Hernias and Abdominal Wall Surgery, People’s Hospital of Xinjiang Uygur Autonomous Region, Xinjiang Uygur Autonomous RegionDepartment of Minimally Invasive Surgery, Hernias and Abdominal Wall Surgery, People’s Hospital of Xinjiang Uygur Autonomous Region, Xinjiang Uygur Autonomous RegionDepartment of Minimally Invasive Surgery, Hernias and Abdominal Wall Surgery, People’s Hospital of Xinjiang Uygur Autonomous Region, Xinjiang Uygur Autonomous RegionDepartment of Minimally Invasive Surgery, Hernias and Abdominal Wall Surgery, People’s Hospital of Xinjiang Uygur Autonomous Region, Xinjiang Uygur Autonomous RegionDepartment of Minimally Invasive Surgery, Hernias and Abdominal Wall Surgery, People’s Hospital of Xinjiang Uygur Autonomous Region, Xinjiang Uygur Autonomous RegionThe graduate student institute of Xinjiang Medical UniversityDepartment of Minimally Invasive Surgery, Hernias and Abdominal Wall Surgery, People’s Hospital of Xinjiang Uygur Autonomous Region, Xinjiang Uygur Autonomous RegionAbstract Background Massive hiatal hernias may result in extraoesophageal symptoms, including iron-deficiency anaemia. However, the role played by hiatal hernias in iron-deficiency anaemia is not clearly understood. We examined the prevalence of anaemia in patients with massive hiatal hernias and the frequency of anaemia resolution after laparoscopic hiatal hernia repair at long term follow-up. Methods Patients who underwent laparoscopic hiatal hernia repair from June 2008 to June 2019 were enrolled in this study. We collected the patients’ demographic and clinical data from their medical records, and compared the pre-surgical and post-surgical findings (at 1 week and 3 months post-surgery). All patients with adequate documentation underwent post-surgical follow-up to evaluate improvements in clinical symptoms and signs. Results A total of 126 patients with massive hiatal hernias underwent laparoscopic hiatal hernia repair. Of these, 35 (27.8%) had iron-deficiency anaemia. Anaemia was resolution in all the patients and they had significantly reduced GERD-Q scores at 3 months postoperatively (P<0.01) .The mean follow-up period was 60 months. Iron-deficiency anaemia resolution after hiatal hernia repair was achieved in 93.9% of the patients. Conclusion Anaemia is common in patients with massive hiatal hernias, and most of our patients were symptomatic because of their anaemia. Moreover, in patients with massive hiatal hernias, iron-deficiency anaemia resolution is likely after laparoscopic hiatal hernia repair.https://doi.org/10.1186/s12893-023-02184-3Massive hiatal herniaExtraoesophageal symptomIron-deficiency anaemiaLaparoscopic surgery |
| spellingShingle | Aikebaier Aili Maimaitiaili Maimaitiming Yiliang Li Alimujiang Maisiyiti Zhi Wang Yusujiang Tusuntuoheti Kelimu Abudureyimu Laparoscopic hiatal hernia repair for treating patients with massive hiatal hernia and iron-deficiency anaemia BMC Surgery Massive hiatal hernia Extraoesophageal symptom Iron-deficiency anaemia Laparoscopic surgery |
| title | Laparoscopic hiatal hernia repair for treating patients with massive hiatal hernia and iron-deficiency anaemia |
| title_full | Laparoscopic hiatal hernia repair for treating patients with massive hiatal hernia and iron-deficiency anaemia |
| title_fullStr | Laparoscopic hiatal hernia repair for treating patients with massive hiatal hernia and iron-deficiency anaemia |
| title_full_unstemmed | Laparoscopic hiatal hernia repair for treating patients with massive hiatal hernia and iron-deficiency anaemia |
| title_short | Laparoscopic hiatal hernia repair for treating patients with massive hiatal hernia and iron-deficiency anaemia |
| title_sort | laparoscopic hiatal hernia repair for treating patients with massive hiatal hernia and iron deficiency anaemia |
| topic | Massive hiatal hernia Extraoesophageal symptom Iron-deficiency anaemia Laparoscopic surgery |
| url | https://doi.org/10.1186/s12893-023-02184-3 |
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