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• W475083732 abstract "Ozet Hiatus hernisi, midenin bir k›sm›n›n, tamam›n›n veya dier kar›n ici organlar›n ozofageal hiatustan torasik mediastene goc etmesidir. Midenin 1/3'unun herniasyonu dev hiatus hernisi gurubuna girmektedir. Etyopatogenezi kesin olarak bilinmemekle birlikte, insidans› yaflla birlikte artmaktad›r. Burada, 70 yafl›ndaki hasta carp›nt›, efor ile gelen nefes darl›¤› ve go¤us ar›s› flika- yetleriyle dahiliye kliniine baflvurmufltur. Uzun sure devam eden medikal tedaviye yan›t al›namamas› nedeniyle yap›lan ozofagus ve midenin kontrastl› grafisi deerlendirmeleri sonucunda midenin buyuk bir k›sm›n›n mediastene goc ettii tespit edilmifl ve hasta gerekli cerrahi tedavi icin Kliniimize gonderilmifltir. Hastan›n genel durumu goz onune al›narak laparotomi ile karna girilmifltir. Midenin tamam›na yak›n bir bolumunun ozofagusun sol latero-posteriorundan mediastene goc ettii tespit edilmifltir. Reduksiyon ve Nissen Fundoplikasyon ifllemi uygulanm›flt›r. Hasta, herhangi bir komplikasyon geliflmeden operasyon sonras› yedinci gun taburcu edilmifltir. Hiatus hernisi hastalar›n›n cou asemptomatiktir; solunum, dolafl›m ve sindirim sistemi yak›nmalar› olacak flekilde genifl bir klinik yelpazenin olmas›, bu olgular›n gozden kac›r›lmas›na neden olmaktad›r. Semptomatik hastalar›n cou, tan› konuluncaya kadar dahiliye kliniklerinde takip ve tedavi edilmektedir. Tan›da bu nedenle bir gecikme olmas› sonucunda, nadir de olsa strangulasyon, inkarserasyon gibi komplikasyonlar gorulmektedir. Secilecek cerrahi tedavi Laparoskopik Krurorafi + Nissen Fundoplikasyonu uygulamas›d›r. Ancak teknik donan›m, ekipman ve giriflimi uygulayan cerrah›n el becerisi d›fl›nda, her zaman hastan›n onay› ve genel durumu da goz onunde bulundurulmal›d›r. . Abstract Hiatal hernia is identified as migration of the stomach completely or partial whether with other intestinal organs into the thoracic mediastinum. Due to etiopathogenesis is not certain, the incidence seems to be higher in older age. Here we report a case of a giant type 3 hiatal hernia in a 70 year old male patient. Case is presented with arhytmia, dyspnea and chest pain in internal medicine clinic. After a long term medical treatment, the clinical manifestations do not disappear. After the failure of medical treatment as a higher level diagnosis the upper gastrointestinal contrast study has been done to patient showing most of the stomach replaced in to the thoracic cavity. After the diagnosis the patient is referred to our clinic for surgical treatment. Laparotomy was performed. We have seen that whole of the stomach has been migrated to mediastinum from left latero-posterior of esophagus. Reduction, crurorafi and Nissen fundoplication has been performed. Patient discharged from the hospital at 7th day postoperatively without any complication. It has been observed that clinical manifestations disappeared after the operation in the following controls. Most of the patients with hiatal hernia may be asymptomatic, but these cases can also present respiratory, circulatory and gastrointestinal manifestations. Due to the wide spectrum of clinical manifestations these patients may be false diagnosed. Symptomatic patients are treated with medical treatment until the hiatal hernia is diagnosed. It has been reported that delay in diagnosis of hiatal hernia cases which treated medically may cause complications of strangulation and incarceration. Surgical options in surgery are laparoscopic crurorafi and Nissen fundoplication. Technical equipment, experience of surgeon is important in these surgical procedures." @default.
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• W475083732 date "2014-07-19" @default.
• W475083732 modified "2023-10-16" @default.
• W475083732 title "Yaşlı Bir Erkek Hastada Asemptomatik Dev Paraözofageal Herni" @default.
• W475083732 cites W1992671215 @default.
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