Clinical evaluation of laparoscopy combined with gastroscopy in the treatment of esophageal hiatal hernia with supraphrenic esophageal diverticulum

doi:10.3877/cma.j.issn.2095-8765.2022.04.005

Abstract

Abstract:

Objective

To analyze the clinical efficacy of laparoscopy combined with gastroscope in the treatment of esophageal hiatal hernia with superior phrenic esophageal diverticulum.

Method

Retrospective analysis the clinical data of 13 patients with esophageal hiatal hernia complicated with supraphrenic esophageal diverticulum treated in Xinjiang Uygur Autonomous region people's Hospital from December 2014 to May 2021 were analyzed. All patients underwent lower esophageal diverticulectomy under double endoscope. Laparoscopic esophageal hiatal herniorrhaphy and gastric fundoplication were performed and followed up after operation.

Results

All patients completed the operation successfully under double endoscope, and there was no conversion to laparotomy. The average operation time was (118.23 ±18.4) minutes, the average intraoperative blood loss was (50.25±15.30) ml, the average postoperative food intake time was (2.15±1.14) days, the average postoperative hospital stay was (4.32±2.5) days, the postoperative clinical symptoms were relieved, there were no operation-related complications, and there was no recurrence after follow-up for 12 months.

Conclusion

Double endoscopic treatment of esophageal hiatal hernia with supraphrenic esophageal diverticulum is safe and feasible and is worthy of further clinical promotion..

Key words: Laparoscopy, Gastroscopy, Hernia, hiatal, Esophagus, diverticulum, Clinical effect

Zhi Wang, Maimaitiaili, Huiling Li, Aikebair, Yiliang Li, Xiuli Deng, Kelimu·Abudureyimu. Clinical evaluation of laparoscopy combined with gastroscopy in the treatment of esophageal hiatal hernia with supraphrenic esophageal diverticulum[J]. Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition), 2022, 09(04): 196-198.

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Figures/Tables 1

References 11

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组别	GERD-Q评分（分）	LES静息压力（mmHg）	DeMeester（分）
术前	11.52±2.23	5.24±6.98	37.48±15.35
术后12个月	7.12±1.25	13.22±4.85	7.24±5.28
t值	8.25	5.835	6.222
P值	0.001	0.004	0.002

组别	GERD-Q评分（分）	LES静息压力（mmHg）	DeMeester（分）
术前	11.52±2.23	5.24±6.98	37.48±15.35
术后12个月	7.12±1.25	13.22±4.85	7.24±5.28
t值	8.25	5.835	6.222
P值	0.001	0.004	0.002

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