Repair of Perforated Ulcers within Paraesophageal Hernias

Document Type

Conference Proceeding - Restricted Access

Publication Date

5-9-2025

Abstract

A hiatal hernia is a herniation of the stomach and occasionally other intra-abdominal organs through the esophageal hiatus or a weakened diaphragm. Type I, or sliding hiatal hernias, are often asymptomatic or may present with acid reflux. Type II-IV hernias, however, can lead to significant symptoms and carry a higher risk of morbidity and mortality. Herniated organs can become incarcerated and strangulated, leading to necrosis and potential perforation. In other rare instances, peptic ulcer disease resulting in peptic and duodenal perforation within a hiatal hernia can lead to fatal complications. Patients presenting with this scenario are at a significantly increased operative risk with a higher morbidity and mortality secondary to leakage of intra-abdominal contents above and below the diaphragm. This can cause mediastinitis in addition to peritonitis and abscesses.

Comments

2025 Research Day Corewell Health West, Grand Rapids, MI, May 9, 2025. Abstract 1835

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