Hiatal Hernia as a Total Gastrectomy Complication
Introduction: According to the Brazilian National Institute of Cancer, gastric cancer is the third leading cause of death among men and the fifth among women in Brazil. Surgical resection is the only potentially curative treatment. The most serious complications associated with surgery are fistulas...
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| Format: | Article |
| Language: | English |
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Karger Publishers
2016-02-01
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| Series: | Case Reports in Oncology |
| Subjects: | |
| Online Access: | http://www.karger.com/Article/FullText/443633 |
| _version_ | 1819054781648338944 |
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| author | Bruna do Nascimento Santos Marcos Belotto de Oliveira Renata D'Alpino Peixoto |
| author_facet | Bruna do Nascimento Santos Marcos Belotto de Oliveira Renata D'Alpino Peixoto |
| author_sort | Bruna do Nascimento Santos |
| collection | DOAJ |
| description | Introduction: According to the Brazilian National Institute of Cancer, gastric cancer is the third leading cause of death among men and the fifth among women in Brazil. Surgical resection is the only potentially curative treatment. The most serious complications associated with surgery are fistulas and dehiscence of the jejunal-esophageal anastomosis. Hiatal hernia refers to herniation of elements of the abdominal cavity through the esophageal hiatus of the diaphragm, though this occurrence is rarely reported as a complication in gastrectomy. Case Report: A 76-year-old man was diagnosed with intestinal-type gastric adenocarcinoma. He underwent a total laparoscopic-assisted gastrectomy and D2 lymphadenectomy on May 19, 2015. The pathology revealed a pT4pN3 gastric adenocarcinoma. The patient became clinically stable and was discharged 10 days after surgery. He was subsequently started on adjuvant FOLFOX chemotherapy; however, 9 days after the second cycle, he was brought to the emergency room with nausea and severe epigastric pain. A CT scan revealed a hiatal hernia with signs of strangulation. The patient underwent emergent repair of the hernia and suffered no postoperative complications. He was discharged from the hospital 9 days after surgery. Conclusion: Hiatal hernia is not well documented, and its occurrence in the context of gastrectomy is an infrequent complication. |
| first_indexed | 2024-12-21T12:57:05Z |
| format | Article |
| id | doaj.art-cb18cef224e04f50994960e72c5c412d |
| institution | Directory Open Access Journal |
| issn | 1662-6575 |
| language | English |
| last_indexed | 2024-12-21T12:57:05Z |
| publishDate | 2016-02-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Oncology |
| spelling | doaj.art-cb18cef224e04f50994960e72c5c412d2022-12-21T19:03:18ZengKarger PublishersCase Reports in Oncology1662-65752016-02-019110010510.1159/000443633443633Hiatal Hernia as a Total Gastrectomy ComplicationBruna do Nascimento SantosMarcos Belotto de OliveiraRenata D'Alpino PeixotoIntroduction: According to the Brazilian National Institute of Cancer, gastric cancer is the third leading cause of death among men and the fifth among women in Brazil. Surgical resection is the only potentially curative treatment. The most serious complications associated with surgery are fistulas and dehiscence of the jejunal-esophageal anastomosis. Hiatal hernia refers to herniation of elements of the abdominal cavity through the esophageal hiatus of the diaphragm, though this occurrence is rarely reported as a complication in gastrectomy. Case Report: A 76-year-old man was diagnosed with intestinal-type gastric adenocarcinoma. He underwent a total laparoscopic-assisted gastrectomy and D2 lymphadenectomy on May 19, 2015. The pathology revealed a pT4pN3 gastric adenocarcinoma. The patient became clinically stable and was discharged 10 days after surgery. He was subsequently started on adjuvant FOLFOX chemotherapy; however, 9 days after the second cycle, he was brought to the emergency room with nausea and severe epigastric pain. A CT scan revealed a hiatal hernia with signs of strangulation. The patient underwent emergent repair of the hernia and suffered no postoperative complications. He was discharged from the hospital 9 days after surgery. Conclusion: Hiatal hernia is not well documented, and its occurrence in the context of gastrectomy is an infrequent complication.http://www.karger.com/Article/FullText/443633Hiatal hernia following gastrectomyTotal gastrectomyGastric cancer |
| spellingShingle | Bruna do Nascimento Santos Marcos Belotto de Oliveira Renata D'Alpino Peixoto Hiatal Hernia as a Total Gastrectomy Complication Case Reports in Oncology Hiatal hernia following gastrectomy Total gastrectomy Gastric cancer |
| title | Hiatal Hernia as a Total Gastrectomy Complication |
| title_full | Hiatal Hernia as a Total Gastrectomy Complication |
| title_fullStr | Hiatal Hernia as a Total Gastrectomy Complication |
| title_full_unstemmed | Hiatal Hernia as a Total Gastrectomy Complication |
| title_short | Hiatal Hernia as a Total Gastrectomy Complication |
| title_sort | hiatal hernia as a total gastrectomy complication |
| topic | Hiatal hernia following gastrectomy Total gastrectomy Gastric cancer |
| url | http://www.karger.com/Article/FullText/443633 |
| work_keys_str_mv | AT brunadonascimentosantos hiatalherniaasatotalgastrectomycomplication AT marcosbelottodeoliveira hiatalherniaasatotalgastrectomycomplication AT renatadalpinopeixoto hiatalherniaasatotalgastrectomycomplication |