Respiratory complications of gastroesophageal reflux associated with paraesophageal hiatal hernia

Details

Serval ID
serval:BIB_61B9430F2EB9
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Respiratory complications of gastroesophageal reflux associated with paraesophageal hiatal hernia
Journal
Journal of Clinical Gastroenterology
Author(s)
Greub  G., Liaudet  L., Wiesel  P., Bettschart  V., Schaller  M. D.
ISSN
0192-0790 (Print)
Publication state
Published
Issued date
08/2003
Volume
37
Number
2
Pages
129-31
Notes
Case Reports
Journal Article --- Old month value: Aug
Abstract
BACKGROUND: Gastroesophageal reflux disease (GERD) may be associated with episodes of bronchoaspiration, sometimes leading to life-threatening respiratory complications. GERD is frequently observed in the setting of type 1 (sliding type) hiatal hernia, but only infrequently complicates the course of type 2 (paraesophageal) hernia. METHODS OF STUDY: We performed a retrospective analysis of 50 patients operated for type 2 hiatal hernia in our hospital, to determine the prevalence of respiratory complaints related to GERD in this setting. RESULTS: We found 7 cases (14%) of type 2 hiatal hernia complicated by pulmonary manifestations as the only symptoms of GERD. These ranged from dyspnea to severe bronchoconstriction and acute respiratory failure. The series is illustrated by the report of 1 patient who experienced acute bronchospasm and cardiopulmonary arrest as a complication of GERD. In all patients, surgical repair of the hiatal hernia, together with an antireflux procedure, resulted in complete resolution of the respiratory complaints for follow-up periods up to 160 months. CONCLUSIONS: Our data emphasize the particular prevalence of respiratory involvement in the case of GERD complicating type 2 hiatal hernia, and also the excellent symptomatic results obtained by surgical therapy for this condition.
Keywords
Aged Bronchial Diseases/etiology Constriction, Pathologic Dyspnea/*etiology Gastroesophageal Reflux/*complications Hernia, Hiatal/*complications Humans Male Respiratory Distress Syndrome, Adult/etiology Retrospective Studies
Pubmed
Web of science
Create date
25/01/2008 16:11
Last modification date
20/08/2019 14:18
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