Respiratory complications of gastroesophageal reflux associated with paraesophageal hiatal hernia

Détails

ID Serval
serval:BIB_61B9430F2EB9
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
Respiratory complications of gastroesophageal reflux associated with paraesophageal hiatal hernia
Périodique
Journal of Clinical Gastroenterology
Auteur(s)
Greub  G., Liaudet  L., Wiesel  P., Bettschart  V., Schaller  M. D.
ISSN
0192-0790 (Print)
Statut éditorial
Publié
Date de publication
08/2003
Volume
37
Numéro
2
Pages
129-31
Notes
Case Reports
Journal Article --- Old month value: Aug
Résumé
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.
Mots-clé
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
Création de la notice
25/01/2008 17:11
Dernière modification de la notice
20/08/2019 15:18
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