Acute Intrathoracic Stomach: Complicated Paraesophageal Hernia associated with Distal Gastrointestinal Obstruction. Report of Two Cases and Review

ConclusionsObstructive conditions distal to large PEHs may cause life-threatening complications in the contents of the hernial sac. In patients who are in unstable condition, with complicated large PEH or UDS with gastric compromise, emergency open surgery is required for reduction and resection of the necrotic parts of the stomach and possibly other organs. In other patients, who respond well to resuscitation after endoscopic gastric decompression, semi-urgent or early elective repair may be programmed.
Source: Hellenic Journal of Surgery - Category: Surgery Source Type: research