Effect on iron deficiency anemia of laparoscopic repair of large paraesophageal hernias
- 1 October 2005
- journal article
- Published by Oxford University Press (OUP) in Diseases of the Esophagus
- Vol. 18 (5), 329-331
- https://doi.org/10.1111/j.1442-2050.2005.00508.x
Abstract
SUMMARY. Patients with iron deficiency anemia sometimes have a large paraesophageal hernia and no other explanation for their chronic blood loss. The management of these patients can be a dilemma, especially when the hernia is otherwise asymptomatic. We aimed to determine whether a laparoscopic repair of the hernia could cure the anemia. We reviewed a consecutive series of 11 cases of iron deficiency anemia associated with a large paraesophageal hernia, many without associated linear gastric erosions, managed by laparoscopic repair and fundoplication. There was one conversion in a patient with dense adhesions from previous upper abdominal surgery. Another patient required a laparoscopic reoperation for an early recurrence. Major morbidity occurred in three patients and there was no mortality. There was no recurrence of anemia after a median follow-up of more than 2 years. Iron deficiency anemia in association with a large paraesophageal hernia can be treated by laparoscopic repair with acceptable morbidity and minimal mortality. The complications of a large paraesophageal hernia are also prevented.J.D. Hayden and G.G. JamiesoKeywords
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