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中华胃食管反流病电子杂志 ›› 2023, Vol. 10 ›› Issue (04) : 191 -195. doi: 10.3877/cma.j.issn.2095-8765.2023.04.006

综述

重视肥胖合并食管裂孔疝外科治疗的特殊性
王睿1, 杨建军1, 宋致成1, 顾岩1,()   
  1. 1. 200040 上海,复旦大学附属华东医院普外科
  • 收稿日期:2023-03-19 出版日期:2023-11-15
  • 通信作者: 顾岩
  • 基金资助:
    国家自然科学基金(82281340414); 上海市科委医学创新研究专项(20Y11909100)

Emphasis on the surgical treatment of hiatal hernia complicated with obesity

Rui Wang1, Jianjun Yang1, Zhicheng Song1, Yan Gu1,()   

  1. 1. Department of General Surgery, Huadong Hospital Affiliated to Fudan University, Shang Hai, 200040
  • Received:2023-03-19 Published:2023-11-15
  • Corresponding author: Yan Gu
引用本文:

王睿, 杨建军, 宋致成, 顾岩. 重视肥胖合并食管裂孔疝外科治疗的特殊性[J]. 中华胃食管反流病电子杂志, 2023, 10(04): 191-195.

Rui Wang, Jianjun Yang, Zhicheng Song, Yan Gu. Emphasis on the surgical treatment of hiatal hernia complicated with obesity[J]. Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition), 2023, 10(04): 191-195.

食管裂孔疝是一种外科常见疾病,肥胖是引起食管裂孔疝的独立危险因素之一。肥胖促进食管裂孔疝发生的机制尚不明确,理解肥胖促进食管裂孔疝发生的机制,综合临床症状、辅助检查及术中探查的方式,提高肥胖合并食管裂孔疝的诊断能力,依据患者肥胖分级的个体化评估,对于选择合适的外科治疗方案具有重要意义。本文拟从不同诊断时机、不同手术方式探讨肥胖合并食管裂孔疝的诊疗体验与思考。

Hiatal hernia is a common surgical disease, and obesity is one of the independent risk factors for hiatal hernia. However, the mechanism by which obesity promotes the occurrence of hiatal hernia is still unclear. With better recognition regarding the relationship between obesity and hiatal hernia, as well as with the clinical symptoms, examinations, and intraoperative exploration, we can improve the diagnostic ability of hiatal hernia complicated with obesity. In addition, individualized evaluation of hiatal hernia according to the patient's obesity classification are of great significance for selecting the appropriate surgical treatment plan. In this article, we aim to discuss the diagnosis and treatment of hiatal hernia complicated with obesity with regards to the diagnostic timing and surgical methods.

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