Weinstein E C, Kohn B S
J Am Geriatr Soc. 1976 Jan;24(1):37-40. doi: 10.1111/j.1532-5415.1976.tb03252.x.
A review of the records of Granada Hills Hospital revealed 4 documented cases of paraesophageal hiatus hernia. One of these geriatric patients presented with incarceration of the gastric fundus, and required an emergency thoracotomy for relief. Paraesophageal hiatus hernia, unlike sliding hiatal hernia, often gives rise to acute surgical problems secondary to incarceration, obstruction, gangrene, perforation or hemorrhage. The approach to the repair operation, may be either abdominal or thoracic, dependent upon the need to correct other associated gastrointestinal pathologic lesions. Unless severe debilitating medical diseases are present, operative intervention is recommended.
对格兰纳达山医院记录的审查发现了4例有记录的食管旁裂孔疝病例。其中一名老年患者出现胃底嵌顿，需要紧急开胸手术以缓解症状。与滑动性裂孔疝不同，食管旁裂孔疝常因嵌顿、梗阻、坏疽、穿孔或出血而引发急性外科问题。修复手术的入路可以是腹部或胸部，这取决于纠正其他相关胃肠道病理病变的需要。除非存在严重的使身体衰弱的内科疾病，否则建议进行手术干预。
