Janzing H, Meeuws R, Cuignez F, Vermassen F
Kliniek voor Heelkunde, Universitair Ziekenhuis Gent.
Acta Chir Belg. 1989 Nov-Dec;89(6):329-32.
A patient is presented with repeated sub-obstructive symptoms due to a documented intermittent hiatal herniation of the transverse colon, accompanied by a volvulated and complete thoracic herniated stomach. The symptoms, the complications, and affirmative investigations, and the treatment are discussed. Surgical reduction, hernia repair and antireflux operation are always recommended in case of a massive hiatal hernia, since a conservative treatment stands for serious and frequent complications.
一名患者因横结肠间歇性食管裂孔疝并有胃扭转及完全性胸腔内疝出而出现反复亚梗阻症状。文中讨论了症状、并发症、确诊检查及治疗方法。对于巨大食管裂孔疝，手术复位、疝修补及抗反流手术是常推荐的治疗方式，因为保守治疗会导致严重且频发的并发症。
