Neudel G
Zentralbl Chir. 1977;102(25):1564-71.
Cases of acute or chronic abdominal complaints in adults can be accounted for as conditions resulting from volvulus of the stomach with oesophagial hernia. In a total of 73 cases of hiatus hernias the author has observed 6 patients with a simultaneous volvulus of the stomach (8,1%) from 1967 to 1976. Pathogenesis, symptoms, surgical indication and the operative technique are discussed. By means of gastropexy, fundiplication and narrowing of the oesphageal hiatus the patients could be freed of complaints and recurrences.
成人急性或慢性腹部不适病例可归因于伴有食管裂孔疝的胃扭转所导致的病症。在总共73例食管裂孔疝病例中,作者在1967年至1976年期间观察到6例同时伴有胃扭转的患者(8.1%)。本文讨论了发病机制、症状、手术指征及手术技巧。通过胃固定术、胃底折叠术和食管裂孔缩窄术,患者的不适症状得以消除,且未出现复发情况。