Hocking B V, Alp M H, Grant A K
Med J Aust. 1976 Aug 7;2(6):207-8. doi: 10.5694/j.1326-5377.1976.tb130109.x.
A retrospective analysis has been made of 19 persons with gastric ulceration in hiatus hernias. Eleven patients presented with acute upper gastrointestinal haemorrhage and three with chronic anaemia. Seventeen had experienced previous abdominal discomfort or heartburn. Diagnosis of ulceration was achieved by endoscopy in 16 instances and by radiography in six instances. A chronic ulcer was found in 10 patients, a discrete acute ulcer in three and multiple erosions in six. Twelve of the hernias were sliding in type and irreducible, in contrast to previous reports that gastric ulceration is most frequent in paracoesophageal hernias. Conservative management resulted in complete healing of the ulcer in the majority of patients. Continued bleeding or failure of the ulcer to heal necessitated surgical intervention in six patients.
对19例食管裂孔疝合并胃溃疡患者进行了回顾性分析。11例患者出现急性上消化道出血，3例出现慢性贫血。17例患者既往有腹部不适或烧心症状。16例通过内镜检查确诊溃疡，6例通过放射学检查确诊。10例患者发现慢性溃疡，3例发现孤立性急性溃疡，6例发现多发糜烂。12例疝为滑动型且无法回纳，这与之前报道的胃溃疡最常见于食管旁疝的情况相反。大多数患者经保守治疗后溃疡完全愈合。6例患者因持续出血或溃疡不愈合而需要手术干预。
